scholarly journals Ipsilateral Recurrence of Nonarteritic Anterior Ischemic Optic Neuropathy: A Case Report

2020 ◽  
Vol 82 (4) ◽  
pp. 23-31
Author(s):  
Daniel Brigham

Nonarteritic anterior ischemic optic neuropathy (NA-AION) is a multifactorial disease that represents the most common type of ischemic optic neuropathy. NA-AION develops in one eye and can occur in the fellow eye at a later date.1The recurrence of ipsilateral NA-AION is rare and a multitude of theories have arisen to explain this infrequent recurrence.2 This case report describes an incident of unilateral recurrence of NA-AION, explores the proposed etiologies, and will emphasize visual symptoms following its resolution.   Key words.  optic nerve edema  Ÿ  recurrent Ÿ nonarteritic ischemic optic neuropathy Ÿ contrast sensitivity  Ÿ  peripapillary retinal nerve fiber layer (pRNFL)

Nonarteritic anterior ischemic optic neuropathy (NAION) is the most common ischemic optic neuropathy and the most common type of optic neuropathy after glaucoma. It is a vascular optic neuropathy that is not related to inflammation, demyelinization, and compression and it is the most common visual loss due to optic nerve involvement. While incidence between the ages of 55-65 is increasing; factors affecting the etiopathogenesis and development of NAION and its treatment have not been clarified yet. This article summarizes the literature on the pathogenesis, clinical findings, diagnosis, and treatment of NAION.


2007 ◽  
Vol 70 (3) ◽  
pp. 544-546 ◽  
Author(s):  
Bruno Machado Fontes ◽  
Liang Shih Jung ◽  
Eduardo Sone Soriano ◽  
Carlos Filipe Chicani

2019 ◽  
pp. 15-20
Author(s):  
Matthew J. Thurtell ◽  
Robert L. Tomsak

Nonarteritic anterior ischemic optic neuropathy is the most frequent cause of acute-onset optic neuropathy in older adults. Its exact pathogenesis remains uncertain, although it often occurs in patients with a small, structurally congested optic disc (“disc at risk”). In this chapter, we begin by reviewing the clinical features of nonarteritic anterior ischemic optic neuropathy. We then discuss the prognosis for recovery of vision and fellow eye involvement. We review the risk factors and precipitating factors for this condition. We list the medications that have been associated with this condition. Lastly, we review the workup and management approach for this common condition.


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