Natural History of Nonarteritic Anterior Ischemic Optic Neuropathy

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Title Natural History of Nonarteritic Anterior Ischemic Optic Neuropathy
Creator Arnold, Anthony C.; Hepler, Robert S.
Affiliation UCLA Optic Neuropathy Center, Jules Stein Eye Institute, Department of Ophthalmology 90024-7005
Abstract Visual acuity and quantitative perimetry (Octopus Program 32) testing was performed in the acute (< 30 days after onset) and convalescent (> 3 months after onset) phases of disease in 27 patients with untreated NAION. Initial group mean acuity and sensitivity loss were compared to final values using the t test. Proportions of patients demonstrating a change of > 2 lines acuity or > 2 dB mean sensitivity were calculated. Patients were classified as either "progressive" (n = 6) or "stable" (n = 21) for purposes of additional subgroup analysis. There was no significant change in group mean visual acuity or field over time. Overall, significant worsening occurred in 11.1% for visual acuity and 22.2% for visual field; improvement occurred in 23.8% for acuity and 24.0% for field. Of 21 "stable" patients, none worsened for acuity and 4.7% showed late worsening of field; 31.3% showed significant improvement for acuity and 31.6% for field. No ""progressive"" patients demonstrated worsening or improvement after the initial progressive phase.
Subject Older people; Older people, 80 and over; Arteritis/physiopathology; Female; Humans; Ischemia/physiopathology; Male; Middle Older people; Optic Nerve/blood supply; Optic Nerve/physiopathology; Optic Nerve Diseases/physiopathology; Perimetry; Visual Acuity/physiology; Visual Fields/physiology
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Date 1994-06
Language eng
Format application/pdf
Type Text
Publication Type Journal Article
Collection Neuro-ophthalmology Virtual Education Library: NOVEL http://NOVEL.utah.edu
Publisher Lippincott, Williams & Wilkins
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah, 10 N 1900 E SLC, UT 84112-5890
Rights Management © North American Neuro-Ophthalmology Society
ARK ark:/87278/s6ck1kjc
Setname ehsl_novel_jno
ID 224487
Reference URL https://collections.lib.utah.edu/ark:/87278/s6ck1kjc
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