A case of anterior ischemic optic neuropathy associated with uveitis

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...

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Autores principales:	Sugahara M, Fujimoto T, Shidara K, Inoue K, Wakakura M
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2013
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/1b65c6b0dd3b4184b7a4900cfc9c3e57
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spelling	oai:doaj.org-article:1b65c6b0dd3b4184b7a4900cfc9c3e572021-12-02T07:49:31ZA case of anterior ischemic optic neuropathy associated with uveitis1177-54671177-5483https://doaj.org/article/1b65c6b0dd3b4184b7a4900cfc9c3e572013-05-01T00:00:00Zhttp://www.dovepress.com/a-case-of-anterior-ischemic-optic-neuropathy-associated-with-uveitis-a13190https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Michitaka 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, uveitisSugahara MFujimoto TShidara KInoue KWakakura MDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 1023-1026 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Sugahara M Fujimoto T Shidara K Inoue K Wakakura M A case of anterior ischemic optic neuropathy associated with uveitis
description	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
format	article
author	Sugahara M Fujimoto T Shidara K Inoue K Wakakura M
author_facet	Sugahara M Fujimoto T Shidara K Inoue K Wakakura M
author_sort	Sugahara M
title	A case of anterior ischemic optic neuropathy associated with uveitis
title_short	A case of anterior ischemic optic neuropathy associated with uveitis
title_full	A case of anterior ischemic optic neuropathy associated with uveitis
title_fullStr	A case of anterior ischemic optic neuropathy associated with uveitis
title_full_unstemmed	A case of anterior ischemic optic neuropathy associated with uveitis
title_sort	case of anterior ischemic optic neuropathy associated with uveitis
publisher	Dove Medical Press
publishDate	2013
url	https://doaj.org/article/1b65c6b0dd3b4184b7a4900cfc9c3e57
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A case of anterior ischemic optic neuropathy associated with uveitis

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