Back to Browse Journals » Clinical Ophthalmology » Volume 7

A case of anterior ischemic optic neuropathy associated with uveitis

Authors Sugahara M, Fujimoto T, Shidara K, Inoue K, Wakakura M

Published Date May 2013 Volume 2013:7 Pages 1023—1026

DOI http://dx.doi.org/10.2147/OPTH.S42678

Received 11 January 2013, Accepted 28 March 2013, Published 29 May 2013

Michitaka Sugahara, Takayuki Fujimoto, Kyoko Shidara, Kenji Inoue, Masato Wakakura

Inouye Eye Hospital, Tokyo, Japan

Introduction: Here, we describe a patient who presented with anterior ischemic optic neuropathy (AION) and subsequently developed uveitis.
Case: A 69-year-old man was referred to our hospital and initially presented with best-corrected visual acuities (BCVA) of 20/40 (right eye) and 20/1000 (left eye) and relative afferent pupillary defect. Slit-lamp examination revealed no signs of ocular inflammation in either eye. Fundus examination revealed left-eye swelling and a pale superior optic disc, and Goldmann perimetry revealed left-eye inferior hemianopia. The patient was diagnosed with nonarteritic AION in the left eye. One week later, the patient returned to the hospital because of vision loss. The BCVA of the left eye was so poor that the patient could only count fingers. Slit-lamp examination revealed 1+ cells in the anterior chamber and the anterior vitreous in both eyes. Funduscopic examination revealed vasculitis and exudates in both eyes. The patient was diagnosed with bilateral panuveitis, and treatment with topical betamethasone was started. No other physical findings resulting from other autoimmune or infectious diseases were found. No additional treatments were administered, and optic disc edema in the left eye improved, and the retinal exudates disappeared in 3 months. The patient's BCVA improved after cataract surgery was performed.
Conclusion: Panuveitis most likely manifests after the development of AION.

Keywords: anterior ischemic optic neuropathy, uveitis

Download Article [PDF] 

Creative Commons License This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution - Non Commercial (unported, v3.0) License. The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. Permissions beyond the scope of the License are administered by Dove Medical Press Limited. Information on how to request permission may be found at: http://www.dovepress.com/permissions.php

Readers of this article also read:

Scleral buckling for retinal detachment in Ibadan, Sub-Saharan Africa: anatomical and visual outcome

Oluleye TS, Ibrahim OA, Olusanya BA

Clinical Ophthalmology 2013, 7:1049-1052

Published Date: 31 May 2013

Efficacy and safety of chondroitin sulfate/xanthan gum versus polyethylene glycol/propylene glycol/hydroxypropyl guar in patients with dry eye

Llamas-Moreno JF, Baiza-Durán LM, Saucedo-Rodríguez LR, Alaníz-De la O JF

Clinical Ophthalmology 2013, 7:995-999

Published Date: 29 May 2013

Visual field loss in schizophrenia: evaluation of magnocellular pathway dysfunction in schizophrenic patients and their parents

Gracitelli CPB, Vaz de Lima FB, Bressan RA, Paranhos Jr A

Clinical Ophthalmology 2013, 7:1015-1021

Published Date: 29 May 2013

Hemorrhagic retinal macrocysts, simulating choroidal melanoma: a case report

Mansour AM, Jaroudi MO

Clinical Ophthalmology 2013, 7:973-976

Published Date: 28 May 2013

Ultra-widefield fluorescein angiography of white without pressure

Orlin A, Fatoo A, Ehrlich J, D'Amico DJ, Chan RVP, Kiss S

Clinical Ophthalmology 2013, 7:959-964

Published Date: 24 May 2013

Azithromycin: assessment of intrinsic cytotoxic effects on corneal epithelial cell cultures

Mencucci R, Pellegrini-Giampietro DE, Paladini I, Favuzza E, Menchini U, Scartabelli T

Clinical Ophthalmology 2013, 7:965-971

Published Date: 24 May 2013

Hydrocele of the canal of Nuck: ultrasound and MRI findings

Edmund Soh, Kenneth Sheah, Keh Oon Ong

Reports in Medical Imaging 2011, 4:15-17

Published Date: 14 February 2011

Cardiac MRI detection of a rare case of familial cardiac amyloidosis (Ser23Asn): case report with literature review

Joseph Daoko, Yaser Elnahar, Karim El Kersh, et al

Reports in Medical Imaging 2010, 3:123-127

Published Date: 8 December 2010