Nonarteritic anterior ischemic optic neuropathy.
Nonarteritic anterior ischemic optic neuropathy is a common cause of sudden, painless loss of vision present commonly on awakening from sleep. It most commonly affects middle-aged and elderly Caucasian men and women. Involvement of the opposite eye occurs within 3 years in less than 43% of patients. Hypertension, diabetes, and nocturnal hypotension are risk factors. A congenital small cup-to-disk ratio also predisposes to the optic nerve ischemia. There is no effective therapy to treat patients acutely or to prevent recurrence. After 6 months of careful follow-up, 57.3% of patients will have no significant change or worsening of their vision in the involved eye.
Desai
Niraj
N
School of Medicine, Medical College of Georgia, Augusta, GA 30912, USA.
Patel
Milan R
MR
Prisant
L Michael
LM
Thomas
Dilip A
DA
D001167:Arteritis / Q000150:complications; D048909:Diabetes Complications; D006801:Humans; D006973:Hypertension / Q000150:complications; D018917:Optic Neuropathy, Ischemic / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology
Am J Ophthalmol. 1994 Dec 15;118(6):766-80
7977604
Arch Ophthalmol. 1996 Nov;114(11):1366-74
8906027
Am J Ophthalmol. 2002 Sep;134(3):317-28
12208242
Br J Ophthalmol. 1980 Apr;64(4):247-61
6155935
Am J Hypertens. 2001 Sep;14(9 Pt 2):277S-279S
11583140
Curr Opin Ophthalmol. 2002 Dec;13(6):357-61
12441837
Am J Ophthalmol. 1994 May 15;117(5):603-24
8172267
Curr Opin Ophthalmol. 1999 Dec;10(6):474-82
10662254
Am J Ophthalmol. 1999 Sep;128(3):301-9
10511024
Ophthalmology. 1987 Nov;94(11):1503-8
3684223
Am J Ophthalmol. 1983 Oct;96(4):478-83
6624829
Am J Ophthalmol. 1997 Nov;124(5):641-7
9372718
Ophthalmology. 1984 Nov;91(11):1338-41
6514299
Int Ophthalmol. 1988;12(2):119-25
3229901
Hypertension. 1996 Jan;27(1):130-5
8591875
Ophthalmology. 2002 Mar;109(3):584-7
11874765
Arch Ophthalmol. 1985 Aug;103(8):1143-4
4026643
JAMA. 1995 Feb 22;273(8):625-32
7844872
Am J Ophthalmol. 1997 Feb;123(2):212-7
9186127
Am J Ophthalmol. 1997 Jan;123(1):103-7
9186104
Brain. 1975 Dec;98(4):689-708
1218373
Ophthalmology. 1984 Nov;91(11):1334-7
6514298
Am J Ophthalmol. 1984 Jul 15;98(1):105-8
6742066