Anterior ischemic optic neuropathy after uncomplicated scleral buckling surgery.
BACKGROUND
To report a case of non-arteritic anterior ischemic optic neuropathy (NAION) observed after uncomplicated scleral buckle placement.


METHODS
A 57-year-old man presented with a rhegmatogenous retinal detachment of the left eye. He underwent uncomplicated scleral buckle placement and C3F8 injection. Perioperative intraocular pressures were normal.


RESULTS
On postoperative day 24, fundus examination revealed swelling of the left optic nerve and features of an optic neuropathy (visual field defect, relative afferent pupillary defect). Fluorescein angiography did not reveal delayed choroidal filling. Review of systems and laboratory investigations were not consistent with giant cell arteritis.


CONCLUSIONS
Non-arteritic anterior ischemic optic neuropathy may develop after uncomplicated scleral buckling surgery.
Taban
Mehran
M
Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
Sharma
Mithlesh C
MC
Lee
Michael S
MS
D005466:Fluorocarbons / Q000008:administration & dosage; D006801:Humans; D008297:Male; D008875:Middle Aged; D018917:Optic Neuropathy, Ischemic / Q000209:etiology*; D011183:Postoperative Complications; D012163:Retinal Detachment / Q000601:surgery; D012591:Scleral Buckling; D014794:Visual Fields
D005466:Fluorocarbons; C042852:perflutren