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Case Reports
. 2013 Sep 24;37(5):214-219.
doi: 10.3109/01658107.2013.817593. eCollection 2013.

Bilateral Simultaneous Nonarteritic Anterior Ischaemic Optic Neuropathy: Case Report

Fatih C Gundogan  1 , Soner Guven  1 , Umit Yolcu  2 , Sabahattin Sari  3 , Gungor Sobaci  1
Affiliations
Case Reports

Bilateral Simultaneous Nonarteritic Anterior Ischaemic Optic Neuropathy: Case Report

Fatih C Gundogan et al. Neuroophthalmology. .

Abstract

Bilateral simultaneous nonarteritic anterior ischaemic optic neuropathy (NAION) is extremely rare. A 57-year-old woman presented with bilateral optic disc oedema and peripapillary splinter haemorrhages. Initial visual acuities were hand movements in the right eye and light perception in the left eye. The patient had a mildly elevated diastolic blood pressure and glucose intolerance. Erythrocyte sedimentation rate and C-reactive protein levels were within normal limits. Temporal artery biopsy was negative for temporal arteritis. Marked visual improvement occurred in both eyes (0.8 in the right eye, 0.6 in the left eye) after systemic steroid therapy in the 16th month of follow-up.

Keywords: nonarteritic anterior ischaemic optic neuropathy treatment; simultaneous nonarteritic anterior ischaemic optic neuropathy.

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Figures

FIGURE 1.
FIGURE 1.
Fundus photos during the initial examination (A, B) and the 16th-month examinination (C, D). Note: Figure 1 of this article is available in colour online at www.informahealthcare.com/oph.
FIGURE 2
FIGURE 2
Coronal and axial magnetic resonance images. Fat-suppressed, contrast-enhanced T1-weighted image (A); fat-suppressed T2-weighted image (B).
FIGURE 3
FIGURE 3
Humphrey visual field examinations during the 2nd-week (A, B), 6th-month (C, D), and 16th-month (E, F) examinations.
FIGURE 4
FIGURE 4
Retinal nerve fibre layer analysis at the 16th-month examination.
See this image and copyright information in PMC

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