Identifier |
20130212_nanos_posters_057 |
Title |
Pallid Disc Edema and Choroidal Perfusion Delay in Post-Hemodialysis Non-Arteritic Ischemic Optic Neuropathy |
Creator |
Nagham Al-Zubidi; Jason Zhang; Arielle Spitze; Sushma Yalamanchili; Andrew G. Lee |
Affiliation |
(NA) (AS) (SY) (AGL) Department of Ophthalmology, The Methodist Hospital, Houston, TX; (JZ) (AGL) Baylor College of Medicine, Houston; (AGL) Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medical College, New York, NY; (AGL)Department of Ophthalmology, The University of Texas Medical Branch, Galveston Galveston, TX; (AGL) Department of Ophthalmology, The University of Iowa Hospitals and Clinics; IA |
Subject |
Papilledema; Choroidal Perfusion Delay; Non-Arteritic Ischemic Optic Neuropathy; End-Stage Renal Disease; Giant Cell Arteritis |
Description |
Non-arteritic anterior ischemic optic neuropathy (NAION) is a rare but recognized ophthalmic complication in patients with end-stage renal disease (ESRD) on chronic hemodialysis characterized by unilateral or bilateral acute visual loss. Anemia, concomitant vaculopathic risk factors (i.e. diabetes, atherosclerosis), autonomic dysfunction and the hypotensive effect of hemodialysis are among the predisposing factors to the development of ischemic optic neuropathy (ION) in this patient population. Although pallid disc edema, cotton wool spots, and a choroidal perfusion delay have been classically associated with giant cell arteritis (GCA). We reported two cases of NAION in patients with ESRD on chronic hemodialysis who demonstrated pallid disc edema in conjunction with choroidal and retinal ischemia. To our knowledge, this is the first such report in the English language ophthalmic literature. |
Date |
2013-02-12 |
Language |
eng |
Format |
application/pdf |
Type |
Text |
Source |
2013 North American Neuro-Ophthalmology Society Annual Meeting |
Relation is Part of |
NANOS 2013: Poster Presentations |
Collection |
Neuro-Ophthalmology Virtual Education Library: NANOS Annual Meeting Collection: https://novel.utah.edu/collection/nanos-annual-meeting-collection/ |
Publisher |
North American Neuro-Ophthalmology Society |
Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
Rights Management |
Copyright 2013. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright |
ARK |
ark:/87278/s68p964k |
Context URL |
The NANOS Annual Meeting Neuro-Ophthalmology Collection: https://novel.utah.edu/collection/NAM/toc/ |
Setname |
ehsl_novel_nam |
ID |
183208 |
Reference URL |
https://collections.lib.utah.edu/ark:/87278/s68p964k |