Korean J Ophthalmol.  2015 Jun;29(3):209-211. 10.3341/kjo.2015.29.3.209.

Delayed Non-arteritic Anterior Ischemic Optic Neuropathy Following Acute Primary Angle Closure

Affiliations
  • 1Department of Ophthalmology, Chungnam National University Hospital, Daejeon, Korea.
  • 2Department of Ophthalmology, Chungnam National University Hospital, Chungnam National University College of Medicine, Daejeon, Korea. kkn9901700@hanmail.net

Abstract

No abstract available.


MeSH Terms

Female
Glaucoma, Angle-Closure/complications/surgery
Humans
Middle Aged
Optic Neuropathy, Ischemic/complications/*diagnosis

Figure

  • Fig. 1 Disc photographs and printout of optical coherence tomography (OCT) taken at the time of left acute primary angle closure show a hyperemic and slightly edematous left optic nerve head (A) and a slight inferior neuro-retinal rim edema and inferior retinal nerve fiber layer (RNFL) edema (B, black arrows). Three days after angle closure relief (C,D,E), disc photograph shows a diffusely swollen optic nerve head with disc hemorrhage at the temporal margin. The inferior pole is more swollen (C). OCT shows a diffusely, especially inferiorly, swollen RNFL (D, black arrow). Humphrey visual field test demonstrates a superior altitudinal visual-field defect corresponding to inferior RNFL swelling (E). One year later, optic nerve head edema of the left eye subside (F). OCT shows RNFL thinning (G). The visual-field defect is only incompletely improved (H). OD = right eye; OS = left eye; TEMP = temporal; SUP = superior; NAS = nasal; INF = inferior; VFI = visual field index; MD = mean deviation; PSD = pattern standard deviation.


Reference

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