Bilateral Posterior Ischemic Optic Neuropathy in a Patient with Severe Diabetic Ketoacidosis

Bilateral Posterior Ischemic Optic Neuropathy in a Patient with Severe Diabetic Ketoacidosis

PURPOSE To report a case of bilateral posterior ischemic optic neuropathy (PION) in a patient with severe diabetic ketoacidosis (DKA). DESIGN Observational case report. PARTICIPANT A 35-year-old male who suffered bilateral visual loss during a severe episode of DKA. METHODS Neuro-ophthalmological examination, neuroimaging consisting of a CT scan and MRI of the brain and orbits, as well as...

MRI findings in Post-operative Bilateral Posterior Ischemic Optic Neuropathy.

A 62-year-old female complained of vision loss following multiple abdominal surgeries for mesenteric ischemia. The patient’s visual acuity was no light perception (NLP) in the right eye and hand motion (HM) at 1’ in the left eye. Both pupils were unreactive and no relative afferent pupillary defect was noted. Anterior segment and fundus examination were unremarkable. T1 and T2 weighted MRI imag...

Severe diabetic papillopathy mimicking non-arteritic anterior ischemic optic neuropathy (NAION) in a young patient.

With the pathophysiology not clearly understood and fewer than 130 cases having been reported in the literature, diabetic papillopathy presents a special challenge to the ophthalmologist. We report a case of a young patient with more than 12 years of type 1 diabetes mellitus (T1DM) on insulin with poor compliance to treatment who presented with sudden bilateral loss of vision. Ocular examinatio...

posterior ischemic optic neuropathy following percutaneous nephrolithotomy

purpose: to report a case of posterior ischemic optic neuropathy (pion) following percutaneous nephrolithotomy (pcnl). patient and findings: a 57-year-old male who underwent pcnl because of renal stone was referred due to painless bilateral visual loss to the level of light perception immediately after the operation. the patient had history of diabetes mellitus, hyperlipidemia, and mild anemia....

Bilateral anterior ischaemic optic neuropathy in a patient with haemochromatosis.