| Title |
Optic Nerve Enhancement in Hypotensive Ischemic Optic Neuropathy |
| Creator |
Vaphiades, MS |
| Affiliation |
Department of Ophthalmology, University of Alabama, 700 South 18th Street, Birmingham, AL 53233, USA. vaph@uab.edu |
| Abstract |
A 57-year-old woman who had hypotension and cardiac arrest during coronary artery bypass grafting developed hypotensive ischemic optic neuropathy with no light perception vision OU. Bilateral mid-orbital optic nerve enhancement was found on magnetic resonance imaging (MRI) eight weeks after surgery. Re-examination 16 weeks after surgery showed no light perception vision, dilated un-reactive pupils, and pale optic discs. Bilateral optic nerve enhancement persisted on MRI. Optic nerve enhancement has been reported commonly in radiation-induced ischemic optic neuropathy, occasionally in arteritic ischemic optic neuropathy, and rarely in nonarteritic ischemic optic neuropathy. It has never been reported in hypotensive ischemic optic neuropathy. |
| Subject |
Blindness/etiology; Blood-Brain Barrier; Coronary Artery Bypass; Female; Heart Arrest/complications; Humans; Hypotension/complications; Hypotension/diagnosis; Magnetic Resonance Imaging; Middle Older people; Optic Nerve/blood supply; Optic Nerve/pathology; Optic Neuropathy, Ischemic/complications; Optic Neuropathy, Ischemic/diagnosis |
| Format |
application/pdf |
| Publication Type |
Journal Article |
| Collection |
Neuro-Ophthalmology Virtual Education Library: Journal of Neuro-Ophthalmology Archives: https://novel.utah.edu/jno/ |
| Publisher |
Lippincott, Williams & Wilkins |
| Holding Institution |
Spencer S. Eccles Health Sciences Library, University of Utah |
| Rights Management |
© North American Neuro-Ophthalmology Society |
| Setname |
ehsl_novel_jno |
| ID |
225358 |
| Reference URL |
https://collections.lib.utah.edu/ark:/87278/s6sx9k9f/225358 |
