Can intramuscular corticosteroid injection cause nonarteritic anterior ischemic optic neuropathy?

Berker Bakbak, Banu Turgut Ozturk, Sansal Gedik, Bengu Ekinci Koktekir, Saban Gonul Selcuk University Medical Faculty, Department of Ophthalmology, Konya, Turkey Abstract: A 56-year-old man noted a sudden decrease of vision in his right eye 4 hours after intramuscular triamcinolone acetonide (TA) in...

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Autores principales: Bakbak B, Ozturk BT, Gedik S, Koktekir BE, Gonul S
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Lenguaje:EN
Publicado: Dove Medical Press 2013
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Acceso en línea:https://doaj.org/article/7e9c0960e53446808575eef53e5fc32f
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spelling oai:doaj.org-article:7e9c0960e53446808575eef53e5fc32f2021-12-02T01:42:54ZCan intramuscular corticosteroid injection cause nonarteritic anterior ischemic optic neuropathy?1177-54671177-5483https://doaj.org/article/7e9c0960e53446808575eef53e5fc32f2013-03-01T00:00:00Zhttp://www.dovepress.com/can-intramuscular-corticosteroid-injection-cause-nonarteritic-anterior-a12576https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Berker Bakbak, Banu Turgut Ozturk, Sansal Gedik, Bengu Ekinci Koktekir, Saban Gonul Selcuk University Medical Faculty, Department of Ophthalmology, Konya, Turkey Abstract: A 56-year-old man noted a sudden decrease of vision in his right eye 4 hours after intramuscular triamcinolone acetonide (TA) injection. A diagnosis of unilateral nonarteritic anterior ischemic optic neuropathy (NAION) was made, and the patient was counseled to discontinue using TA. Examination for possible risk factors revealed controlled hypertension. Final visual acuity was finger counting at 1 m, and the optic disc was pale in his right eye. This is the first reported case of unilateral NAION that has occurred in a patient after intramuscular corticosteroid injection. Although a cause-and-effect relationship is difficult to prove, the short duration between the TA injection and the NAION is noteworthy. The history of corticosteroid injection should be questioned in cases with predisposing conditions such as hypertension. Keywords: ischemic optic neuropathy, corticosteroids, optic disc edemaBakbak BOzturk BTGedik SKoktekir BEGonul SDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2013, Iss default, Pp 633-635 (2013)
institution DOAJ
collection DOAJ
language EN
topic Ophthalmology
RE1-994
spellingShingle Ophthalmology
RE1-994
Bakbak B
Ozturk BT
Gedik S
Koktekir BE
Gonul S
Can intramuscular corticosteroid injection cause nonarteritic anterior ischemic optic neuropathy?
description Berker Bakbak, Banu Turgut Ozturk, Sansal Gedik, Bengu Ekinci Koktekir, Saban Gonul Selcuk University Medical Faculty, Department of Ophthalmology, Konya, Turkey Abstract: A 56-year-old man noted a sudden decrease of vision in his right eye 4 hours after intramuscular triamcinolone acetonide (TA) injection. A diagnosis of unilateral nonarteritic anterior ischemic optic neuropathy (NAION) was made, and the patient was counseled to discontinue using TA. Examination for possible risk factors revealed controlled hypertension. Final visual acuity was finger counting at 1 m, and the optic disc was pale in his right eye. This is the first reported case of unilateral NAION that has occurred in a patient after intramuscular corticosteroid injection. Although a cause-and-effect relationship is difficult to prove, the short duration between the TA injection and the NAION is noteworthy. The history of corticosteroid injection should be questioned in cases with predisposing conditions such as hypertension. Keywords: ischemic optic neuropathy, corticosteroids, optic disc edema
format article
author Bakbak B
Ozturk BT
Gedik S
Koktekir BE
Gonul S
author_facet Bakbak B
Ozturk BT
Gedik S
Koktekir BE
Gonul S
author_sort Bakbak B
title Can intramuscular corticosteroid injection cause nonarteritic anterior ischemic optic neuropathy?
title_short Can intramuscular corticosteroid injection cause nonarteritic anterior ischemic optic neuropathy?
title_full Can intramuscular corticosteroid injection cause nonarteritic anterior ischemic optic neuropathy?
title_fullStr Can intramuscular corticosteroid injection cause nonarteritic anterior ischemic optic neuropathy?
title_full_unstemmed Can intramuscular corticosteroid injection cause nonarteritic anterior ischemic optic neuropathy?
title_sort can intramuscular corticosteroid injection cause nonarteritic anterior ischemic optic neuropathy?
publisher Dove Medical Press
publishDate 2013
url https://doaj.org/article/7e9c0960e53446808575eef53e5fc32f
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AT ozturkbt canintramuscularcorticosteroidinjectioncausenonarteriticanteriorischemicopticneuropathy
AT gediks canintramuscularcorticosteroidinjectioncausenonarteriticanteriorischemicopticneuropathy
AT koktekirbe canintramuscularcorticosteroidinjectioncausenonarteriticanteriorischemicopticneuropathy
AT gonuls canintramuscularcorticosteroidinjectioncausenonarteriticanteriorischemicopticneuropathy
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