Premium
History
Author(s) -
GOLNIK K
Publication year - 2008
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2008.3261.x
Subject(s) - medicine , giant cell arteritis , optic neuritis , anterior ischemic optic neuropathy , optic neuropathy , diabetes mellitus , arteritis , ischemic optic neuropathy , optic nerve , surgery , sarcoidosis , ophthalmology , dermatology , vasculitis , multiple sclerosis , disease , psychiatry , endocrinology
The two most common causes of acute visual loss and unilateral optic disc swelling are acute optic neuritis (AON) and Nonarteritic anterior ischemic optic neuropathy (NAION). Important historical points include patient age, presence of pain, and predisposing medical conditions (diabetes, hypertension, hypercholesterolemia, sarcoidosis, recent viral infections/illnesses, other autoimmune conditions). In patients over 50 years of age, symptoms of giant cell arteritis (scalp tenderness, headache, jaw claudication, weight loss, fatigue, fever) must be discussed. Details of the onset of visual loss may be important because occasionally more chronic loss of vision is suddenly discovered when the good eye is occluded. Finally, one must be sure that this is a completely isolated, unilateral visual problem by ascertaining whether any other symptoms exist.