Article Text

Reminder of important clinical lesson
Non-arteritic anterior ischaemic optic neuropathy associated with neovascular glaucoma
  1. Boonsong Wanichwecharungruang1,2,
  2. Somporn Chantra1
  1. 1
    Rajavithi Hospital, Ophthalmology, 2 Rajavithi Road, Bangkok 10400, Thailand
  2. 2
    Manatna Rama 9, Sapansoong district, Bangkok 10250, Thailand
  1. Boonsong Wanichwecharungruang, boonsongw{at}yahoo.com

Summary

We report a case of non-arteritic anterior ischaemic optic neuropathy (NAION) associated with neovascular glaucoma (NVG). A 63-year-old man who had undergone cataract surgery 3 months previously presented with sudden visual loss in his right eye. Ocular examination revealed a relative afferent pupillary defect, intraocular pressure (IOP) of 27 mm Hg, and 360° neovascularisation. Fundus examination revealed a pale and swollen optic disc with diabetic retinopathy. NAION associated with NVG was diagnosed. NVG, leading to reduced optic nerve perfusion pressure, concurrent with ischaemic processes of diabetic retinopathy, resulted in NAION.

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Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication.

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