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Incipient non-arteritic anterior ischaemic optic neuropathy: a distinct clinical entity, the Singapore scene 3

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Singapore Med J 2014; 55(9): 473-475; http://dx.doi.org/10.11622/smedj.2014116
Incipient non-arteritic anterior ischaemic optic neuropathy: a distinct clinical entity, the Singapore scene 3

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Chua D, Cullen JF
Correspondence: Dr James F Cullen, jbarrycullen@yahoo.com

ABSTRACT
We report five cases of non-arteritic anterior ischaemic optic neuropathy (NA-AION) where spontaneous resolution of the optic disc swelling occurred, and all relevant visual modalities were normal at presentation and remained so until resolution of the process after a median time of 9.6 weeks. This condition, which can be termed ‘incipient NA?AION’ or ‘threatened NA-AION’, should be recognised so that unnecessary investigations for other and more serious causes of optic disc swelling can be prevented.

Keywords: anterior ischaemic optic neuropathy, spontaneous resolution, visual acuity, visual fields
Singapore Med J 2014; 55(9): 473-475; http://dx.doi.org/10.11622/smedj.2014116

http://smj.org.sg/sites/default/files/5509/5509a2.pdf

REFERENCES

1. Cullen JF, Por YM. Ischaemic optic neuropathy: the Singapore scene. Singapore Med J 2007; 48:281-6.
PMid:17384872
 
2. Cullen JF, Chung SH. Non-arteritic anterior ischaemic optic neuropathy (NA-AION): outcome for visual acuity and visual field defects, the Singapore scene 2. Singapore Med J 2012; 53:88-90
PMid:22337180
 
3. Hayreh SS, Zimmerman MB. Incipient nonarteritic anterior ischemic optic neuropathy. Ophthalmology 2007; 114:1763-72.
http://dx.doi.org/10.1016/j.ophtha.2006.11.035
 
4. Arnold AC. Ischemic optic neuropathy. In: Miller NR, Newman NJ, eds. Walsh & Hoyt's Clinical Neuro-Ophthalmology. 6th ed. Philadelphia Lippincott Williams & Wilkins, 2005: 377-9.
PMid:15680715
 
5. Hayreh SS. Ischemic optic neuropathies. Heidelberg: Springer, 2011: 265?308.
http://dx.doi.org/10.1007/978-3-642-11852-4_14
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