Open AccessAnterior ischemic optic neuropathy precipitated by acute primary angle closure
Author(s) -
Nikhil S. Choudhari,
Ronnie George,
Vardhman Kankaria,
GT T. Sunil
Publication year - 2010
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.67070
Subject(s) - medicine , anterior ischemic optic neuropathy , optical coherence tomography , ischemic optic neuropathy , intraocular pressure , ophthalmology , optic neuropathy , raised intracranial pressure , surgery , intracranial pressure , optic nerve
A 59-year-old man with a history of longstanding systemic hypotension developed asymmetric non-arteritic anterior ischemic optic neuropathy (NAION) apparently precipitated by bilateral sequential acute primary angle closure. NAION is very rarely reported in association with raised intraocular pressure. In contrast to optical coherence tomography, the failure of scanning laser polarimetry to detect axonal swelling was another interesting finding. Possible reasoning for these observations is discussed.