Graves' disease presenting as unilateral anterior ischaemic optic neuropathy

Anterior ischaemic optic neuropathy

In anterior ischaemic optic neuropathy (AION) there is a comparatively sudden loss of vision in the entire eye, or in one sector of the field of vision of the eye, initially associated with oedema of the optic disc, which results in optic atrophy within a month or two, leaving a permanent visual defect. A large number of such cases have been reported in the literature, but, although this clinic...

Bilateral anterior ischaemic optic neuropathy due to optic disc drusen.

PURPOSE To report a case of bilateral anterior ischaemic optic neuropathy due to buried optic disc drusen. METHODS Case report. RESULTS A 64-year-old man presented with swollen optic discs and features suggestive of anterior ischaemic optic neuropathy (AION) in the left and right eye on two separate occasions ten months apart. Detailed ocular examination at presentation and systemic investi...

Ischaemic optic neuropathy in pulseless disease.

Traumatic ischaemic optic neuropathy.

Persistent profound visual loss following contusion of the globe or ocular adnexae has been well documented, the visual loss being attributed to haemorrhage into, or contusion of, the optic nerve, or to interference with the blood supply of the eye. The patient described below presented after a contusion of the eye and orbit, with the clinical picture of ischaemic optic neuropathy presumably re...

Anterior ischaemic optic neuropathy: recurrent episodes in the same eye.

Anterior ischaemic optic neuropathy is characterised by a sudden, painless loss of vision, optic disc oedema, and nerve fibre bundle visual field defects. It may be associated with giant cell arteritis but is usually idiopathic. Although subsequent involvement of the second eye is common, more than one episode in the same eye is extremely rare. Four patients with recurrent anterior ischaemic op...