Non-arteritic anterior ischaemic optic neuropathy in Malaysia: a 5 years review

作     者：Abdulrahman Bawazir Reza Gharebaghi Adil Hussein Wan Hazabbah Wan Hitam 

作者机构：Department of OphthalmologySchool of Medical SciencesUniversiti Sains Malaysia 

出 版 物：《International Journal of Ophthalmology(English edition)》 (国际眼科杂志（英文版）)

年 卷 期：2011年第4卷第3期

页      面：272-274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：non-arteritic anterior ischaemic optic neuropathy hypertension diabetes 

摘      要：AIM: To evaluate the clinical presentations and visual outcomes of non-arteritic anterior ischaemic optic neuropathy (NAION).METHODS: A retrospective study was conducted involving 18 consecutive patients (20 eyes) with NAION attending Hospital Universiti Sains Malaysia from January 2005 until December ***: Most patients were Malay (94.4%),and followed by Chinese (5.6 %).The female-to-male ratio was 3.5:*** age of patients ranged from 36 to 85 years (mean,57.1 years).The main risk factors in systemic diseases were hypertension (55.5%),diabetes mellitus (44.4%),and ischaemic heart disease (11.1%).Most patients (77.8%) presented with acute loss of vision while gradual onset was in 22.3% of *** had visual acuity worse than 1/60 (80%).The most common fundoscopic findings were peripapillary splinter haemorrhage (90%),sectorial swollen optic disc (60%) and hyperemic disc (60%).During follow up,20% of the patients showed stabilization in visual acuity,and 80% showed worsening of ***: Majority of patients with NAION presented with acute poor vision involving middle-aged and elderly *** and diabetes mellitus were among the main risk factors *** can lead to permanent visual loss despite treatment.