Clinical characteristics of progressive nonarteritic anterior ischemic optic neuropathy
作者机构：Neuro Ophthalmology UnitOphthalmology DepartmentRabin Medical CenterPetah Tikva 4941492Israel Sackler School of MedicineTel Aviv UniversityTel Aviv 6997801Israel
出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)
年 卷 期：2021年第14卷第4期
页 面：517-522页
核心收录：
学科分类：1002[医学-临床医学] 100212[医学-眼科学] 10[医学]
主 题：nonarteritic anterior ischemic optic neuropathy optic neuropathy disc edema visual field defect
摘 要：AIM:To study whether patients with progressive nonarteritic anterior ischemic optic neuropathy(NAION)present earlier than patients with stable NAION and to describe their clinical characteristics and visual ***:This was a retrospective chart *** patients with NAION seen during the acute stage from January 2012 to December 2018 were *** were included if they had documented disc edema and follow up of at least 3 *** with progressive NAION were identified if they worsened in 2 out of 3 parameters:visual acuity≥3 Snellen lines;Color vision≥4 Ishihara plates;the visual field defect involved a new *** clinical characteristics,time from symptom onset to presentation,systemic risk factors and visual outcome were compared to patients with stable ***:Totally 122 NAION cases met the inclusion *** age was 58.1 y(range 22-74),70%were *** cases(16.4%)had progressive *** with progressive NAION did not differ from stable NAION in their demographics,systemic risk factors or in their initial visual *** last follow up,median visual acuity was 1.0 log MAR(IQR 0.64-1.55)in patients with progressive NAION,vs 0.18(IQR 0.1-0.63)in stable NAION(P0.001).Median color vision testing was 0 plates correct(IQR 0-2.5%)vs 92%plates correct(IQR 50%-100%)in the stable NAION group(P0.001).Patients with progressive NAION differed in the time from symptom onset to presentation(median 2 d vs 5 d,P=0.011).CONCLUSION:We find no identifiable risk factors associated with progressive *** arrive earlier for ophthalmological evaluation.
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