Ischemic optic neuropathy as a possible early complication of vascular hypertension

American Journal of Ophthalmology
C Ellenberger

Abstract

Eighteen patients with idiopathic optic neuropathy lacked symptoms and signs of cardiovascular and cerebrovascular disease, especially when compared to three groups of patients with sudden visual loss caused by retinal infarction, transient ischemia, and cerebral infarction. Many patients in the latter groups had hypertension, carotid bruits, heart disease, transient ischemic attack, and stroke. But among the patients with ischemic optic neuropathy, hypertension was the only evidence of cardiovascular disease, affecting 44% of the patients. We argue that, in many cases, ischemic optic neuropathy represents a direct and early complication of hypertension arterial disease affecting small arterioles supplying the anterior part of the optic nerve. The pathologic process may thus be similar or identical to lacunar infarction of the brain.

References

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Citations

Sep 1, 1981·American Journal of Ophthalmology·M EhrenbergF E McCoy
Jan 1, 1982·American Journal of Ophthalmology·E A WaybrightJ Combs
Oct 1, 1983·American Journal of Ophthalmology·M X RepkaR C Sergott
Nov 1, 1984·American Journal of Ophthalmology·R W BeckR C Sergott
May 15, 1985·American Journal of Ophthalmology·R L Tomsak
Jan 15, 1986·Documenta Ophthalmologica. Advances in Ophthalmology·L A BastiaensenJ J Vandoninck
Apr 1, 1994·Ophthalmology·S M ChungJ A McCrary
Nov 1, 1984·Ophthalmology·R W BeckR C Sergott
Dec 1, 1983·Journal of Clinical Neuro-ophthalmology·S L JabenM Daily
Apr 1, 1993·Stroke; a Journal of Cerebral Circulation·C L FryM R Tuley
Mar 1, 1993·Journal of Neurology, Neurosurgery, and Psychiatry·S H Wray
Oct 1, 1983·The British Journal of Ophthalmology·R W BeckR Sergott
May 1, 1995·Anesthesia and Analgesia·E L WilliamsR Tempelhoff
Sep 1, 1983·Journal of Clinical Neuro-ophthalmology·D G LotufoZ F Pollard

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