Non-arteritic anterior ischemic optic neuropathy (NAION) with segmental optic disc edema

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Identifier EEC-NAION_segmental_edema-NOVEL
Title Non-arteritic anterior ischemic optic neuropathy (NAION) with segmental optic disc edema
Subject Optic Disc Edema; Non-Arteritic Anterior Ischemic Optic Neuropathy; Optic Neuropathy
Creator Jonathan A. Micieli, MD, Department of Ophthalmology, Emory University School of Medicine; Valérie Biousse, MD Departments of Ophthalmology and Neurology, Emory University School of Medicine
Description A 75-year old white woman with hypertension and diabetes presented with a 1 week history of vision loss in the right eye. Dilated fundus examination revealed superior segmental optic disc edema in the right eye and a small, crowded optic disc in the left eye known as a "disc-at-risk" (Figure 1). Intravenous fluorescein angiogram showed leakage from the superior part of the optic disc (Figure 2). Humphrey 24-2 SITA-Fast visual fields showed a right inferior arcuate defect (Figure 3). She had normal laboratory investigations including complete blood count (CBC), erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) and was diagnosed with right NAION. She was seen in follow-up 6 weeks later and there was resolution of the right optic disc edema (Figure 4) and her right inferior arcuate defect was stable (Figure 5). Optic coherence tomography of the retinal nerve fiber layer (RNFL) and ganglion cell complex (GCC), which includes the ganglion cell layer and inner plexiform layer, showed mild right superior RNFL loss and macular GCC loss corresponding to the right inferior visual field defect (Figures 6 and 7). [[Number of Figures and legend for each: 7 figures included. Figure 1. Optic disc photos of both eyes demonstrating right superior segmental optic disc edema and a left small, crowded optic nerve ("disc-at-risk"). Figure 2. Intravenous fluorescein angiography showed leakage from the superior part of the optic disc. Figure 3. Humphrey 24-2 SITA-Fast visual fields show a right inferior arcuate defect. Figure 4. Optic disc photos show resolution of the right optic disc edema. Figure 5. Humphrey 24-2 SITA-Fast visual fields show a stable right inferior arcuate defect. Figure 6. Optical coherence tomography (OCT) of the retinal nerve fiber layer (RNFL) shows mild thinning superiorly in the right eye and OCT macular ganglion cell analysis shows superior GCC loss. Figure 7. Deviation maps of the optical coherence tomography (OCT) of the retinal nerve fiber layer (RNFL) shows mild thinning superiorly in the right eye and OCT macular ganglion cell analysis shows superior GCC loss corresponding to the inferior visual field defect.]]
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2018-01
Format application/pdf
Rights Management Copyright 2018. For further information regarding the rights to this collection, please visit: https://NOVEL.utah.edu/about/copyright
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Language eng
ARK ark:/87278/s69d0vn9
Setname ehsl_novel_eec
Date Created 2018-01-09
Date Modified 2018-02-21
ID 1291693
Reference URL https://collections.lib.utah.edu/ark:/87278/s69d0vn9
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