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Diagnosis and treatment of non-arteritic anterior ischemic optic neuropathy

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Author:
No author available
Journal Title:
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
Issue:
4
DOI:
10.3760/cma.j.issn.1005-1015.2010.04.01
Key Word:
视神经病变,缺血性/诊断;视神经病变,缺血性/治疗;述评;Optic neuropathy,ischemic/diagnosis;Optic neuropathy,ischemic/therapy;Editorial

Abstract: The characteristics of non-arteritic anterior ischemic optic neuropathy (NAION) include sudden decline of visual acuity, sector-shaped visual field defect connected with the physiological blind spot or hemi-visual field defect, and optic disc edema. Early angiographic abnormalities of optic disc and peripapillary choroidal circulation are important cues for the diagnosis. Angiography combined with visual field test can make the diagnosis more accurate. The pathological mechanism and process of NAION and ischemic cardiovascular/cerebrovascular disease are essentially the same. There are several critical issues in this field we need focus on, including strengthening the cooperation with relevant professional disciplines; improving the ocular ischemia through drugs, intervention and other means; preventing more serious cardiovascular events and intervening in a number of high-risk populations to reduce the incidence of AION.

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