Nonarteritic anterior ischemic optic neuropathy following pars plana vitrectomy for macular hole treatment: case report
Main Author: | |
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Publication Date: | 2016 |
Other Authors: | , , |
Format: | Report |
Language: | eng |
Source: | Arquivos brasileiros de oftalmologia (Online) |
Download full: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000500342 |
Summary: | ABSTRACT Herein, we report a case of nonarteritic anterior ischemic optic neuropathy (NAION) following uneventful pars plana vitrectomy for macular hole treatment. A 56-year-old previously healthy woman presented with a full-thickness macular hole in right eye (OD) and small cup-to-disc ratios in both eyes. Five days after surgery, she noticed sudden painless loss of vision in OD and was found to have an afferent pupillary defect and intraocular pressure of 29 mmHg. Fundus examination showed right optic disc edema and the resolution of a macular hole with an inferior altitudinal visual field defect. Erythrocyte sedimentation rate, C-reactive protein levels, and general physical examination findings were normal. She was treated with hypotensive eyedrops and oral prednisone, resulting in mild visual improvement and a pale optic disc. A combination of face-down position and increased intraocular pressure due to a small optic disc cup were considered as potential mechanisms underlying NAION in the present case. Vitreoretinal surgeons should be aware of NAION as a potentially serious complication and be able to recognize associated risk factors and clinical findings. |
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Nonarteritic anterior ischemic optic neuropathy following pars plana vitrectomy for macular hole treatment: case reportOptic neuropathy, ischemic/diagnosisPapilledemaRetinal perforations/therapyVitrectomyVisual fieldsABSTRACT Herein, we report a case of nonarteritic anterior ischemic optic neuropathy (NAION) following uneventful pars plana vitrectomy for macular hole treatment. A 56-year-old previously healthy woman presented with a full-thickness macular hole in right eye (OD) and small cup-to-disc ratios in both eyes. Five days after surgery, she noticed sudden painless loss of vision in OD and was found to have an afferent pupillary defect and intraocular pressure of 29 mmHg. Fundus examination showed right optic disc edema and the resolution of a macular hole with an inferior altitudinal visual field defect. Erythrocyte sedimentation rate, C-reactive protein levels, and general physical examination findings were normal. She was treated with hypotensive eyedrops and oral prednisone, resulting in mild visual improvement and a pale optic disc. A combination of face-down position and increased intraocular pressure due to a small optic disc cup were considered as potential mechanisms underlying NAION in the present case. Vitreoretinal surgeons should be aware of NAION as a potentially serious complication and be able to recognize associated risk factors and clinical findings.Conselho Brasileiro de Oftalmologia2016-10-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000500342Arquivos Brasileiros de Oftalmologia v.79 n.5 2016reponame:Arquivos brasileiros de oftalmologia (Online)instname:Conselho Brasileiro de Oftalmologia (CBO)instacron:CBO10.5935/0004-2749.20160098info:eu-repo/semantics/openAccessCunha,Leonardo ProvettiCunha,Luciana Virgínia Ferreira CostaCosta,Carolina FerreiraMonteiro,Mário Luiz Ribeiroeng2016-11-30T00:00:00Zoai:scielo:S0004-27492016000500342Revistahttp://aboonline.org.br/https://old.scielo.br/oai/scielo-oai.phpaboonline@cbo.com.br||abo@cbo.com.br1678-29250004-2749opendoar:2016-11-30T00:00Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO)false |
dc.title.none.fl_str_mv |
Nonarteritic anterior ischemic optic neuropathy following pars plana vitrectomy for macular hole treatment: case report |
title |
Nonarteritic anterior ischemic optic neuropathy following pars plana vitrectomy for macular hole treatment: case report |
spellingShingle |
Nonarteritic anterior ischemic optic neuropathy following pars plana vitrectomy for macular hole treatment: case report Cunha,Leonardo Provetti Optic neuropathy, ischemic/diagnosis Papilledema Retinal perforations/therapy Vitrectomy Visual fields |
title_short |
Nonarteritic anterior ischemic optic neuropathy following pars plana vitrectomy for macular hole treatment: case report |
title_full |
Nonarteritic anterior ischemic optic neuropathy following pars plana vitrectomy for macular hole treatment: case report |
title_fullStr |
Nonarteritic anterior ischemic optic neuropathy following pars plana vitrectomy for macular hole treatment: case report |
title_full_unstemmed |
Nonarteritic anterior ischemic optic neuropathy following pars plana vitrectomy for macular hole treatment: case report |
title_sort |
Nonarteritic anterior ischemic optic neuropathy following pars plana vitrectomy for macular hole treatment: case report |
author |
Cunha,Leonardo Provetti |
author_facet |
Cunha,Leonardo Provetti Cunha,Luciana Virgínia Ferreira Costa Costa,Carolina Ferreira Monteiro,Mário Luiz Ribeiro |
author_role |
author |
author2 |
Cunha,Luciana Virgínia Ferreira Costa Costa,Carolina Ferreira Monteiro,Mário Luiz Ribeiro |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Cunha,Leonardo Provetti Cunha,Luciana Virgínia Ferreira Costa Costa,Carolina Ferreira Monteiro,Mário Luiz Ribeiro |
dc.subject.por.fl_str_mv |
Optic neuropathy, ischemic/diagnosis Papilledema Retinal perforations/therapy Vitrectomy Visual fields |
topic |
Optic neuropathy, ischemic/diagnosis Papilledema Retinal perforations/therapy Vitrectomy Visual fields |
description |
ABSTRACT Herein, we report a case of nonarteritic anterior ischemic optic neuropathy (NAION) following uneventful pars plana vitrectomy for macular hole treatment. A 56-year-old previously healthy woman presented with a full-thickness macular hole in right eye (OD) and small cup-to-disc ratios in both eyes. Five days after surgery, she noticed sudden painless loss of vision in OD and was found to have an afferent pupillary defect and intraocular pressure of 29 mmHg. Fundus examination showed right optic disc edema and the resolution of a macular hole with an inferior altitudinal visual field defect. Erythrocyte sedimentation rate, C-reactive protein levels, and general physical examination findings were normal. She was treated with hypotensive eyedrops and oral prednisone, resulting in mild visual improvement and a pale optic disc. A combination of face-down position and increased intraocular pressure due to a small optic disc cup were considered as potential mechanisms underlying NAION in the present case. Vitreoretinal surgeons should be aware of NAION as a potentially serious complication and be able to recognize associated risk factors and clinical findings. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/report |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
report |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000500342 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492016000500342 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.5935/0004-2749.20160098 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
publisher.none.fl_str_mv |
Conselho Brasileiro de Oftalmologia |
dc.source.none.fl_str_mv |
Arquivos Brasileiros de Oftalmologia v.79 n.5 2016 reponame:Arquivos brasileiros de oftalmologia (Online) instname:Conselho Brasileiro de Oftalmologia (CBO) instacron:CBO |
instname_str |
Conselho Brasileiro de Oftalmologia (CBO) |
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CBO |
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CBO |
reponame_str |
Arquivos brasileiros de oftalmologia (Online) |
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Arquivos brasileiros de oftalmologia (Online) |
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Arquivos brasileiros de oftalmologia (Online) - Conselho Brasileiro de Oftalmologia (CBO) |
repository.mail.fl_str_mv |
aboonline@cbo.com.br||abo@cbo.com.br |
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1754209029073141760 |