Optic nerve enhancement in hypotensive ischemic optic neuropathy

Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society
Michael S Vaphiades

Abstract

A 57-year-old woman who had hypotension and cardiac arrest during coronary artery bypass grafting developed hypotensive ischemic optic neuropathy with no light perception vision OU. Bilateral mid-orbital optic nerve enhancement was found on magnetic resonance imaging (MRI) eight weeks after surgery. Re-examination 16 weeks after surgery showed no light perception vision, dilated un-reactive pupils, and pale optic discs. Bilateral optic nerve enhancement persisted on MRI. Optic nerve enhancement has been reported commonly in radiation-induced ischemic optic neuropathy, occasionally in arteritic ischemic optic neuropathy, and rarely in nonarteritic ischemic optic neuropathy. It has never been reported in hypotensive ischemic optic neuropathy.

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Citations

Dec 17, 2009·British Journal of Anaesthesia·S Roth
Jul 3, 2010·Clinical Ophthalmology·Kathleen T BergMichael S Lee
Sep 14, 2014·Seminars in Ultrasound, CT, and MR·David James Swienton, Adam G Thomas
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Sep 6, 2005·Survey of Ophthalmology·Michael Vaphiades
Jan 1, 2013·Open Journal of Ophthalmology·Nirali P BhattMichaela K Mathews
Sep 9, 2005·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Valerie Purvin, Benjamin Kuzma
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Nov 13, 2018·Ophthalmic Plastic and Reconstructive Surgery·Sonia HuangGarry Davis
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Feb 25, 2021·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Rohan Bir SinghAniruddha Agarwal

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