Abstract
Seventy one patients with non-arteritic anterior ischaemic optic neuropathy were studied retrospectively. Sixty three (89%) were followed to the end of the study or death, mean follow up time was 5.3 years. Whilst twenty (28%) had diabetes or hypertension, in thirty nine (55%) no predisposing condition was identified. In those who had monocular disease at presentation (68), subsequent involvement of the second eye occurred in seventeen (25%), seven within the first year. Nineteen patients died within the study period. Of these, nine died from myocardial infarction and four from cerebrovascular disease. This is a significant increase above figures calculated from the Office of Population Census and Surveys (p less than 0.001 for all causes, p less than 0.002 for myocardial infarction and cerebrovascular disease). Such an increase in mortality has not been previously reported, and implies that this condition carries a more sinister systemic prognosis than is frequently supposed.
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Selected References
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- Beck R. W., Savino P. J., Repka M. X., Schatz N. J., Sergott R. C. Optic disc structure in anterior ischemic optic neuropathy. Ophthalmology. 1984 Nov;91(11):1334–1337. doi: 10.1016/s0161-6420(84)34146-x. [DOI] [PubMed] [Google Scholar]
- Beck R. W., Servais G. E., Hayreh S. S. Anterior ischemic optic neuropathy. IX. Cup-to-disc ratio and its role in pathogenesis. Ophthalmology. 1987 Nov;94(11):1503–1508. [PubMed] [Google Scholar]
- Beri M., Klugman M. R., Kohler J. A., Hayreh S. S. Anterior ischemic optic neuropathy. VII. Incidence of bilaterality and various influencing factors. Ophthalmology. 1987 Aug;94(8):1020–1028. doi: 10.1016/s0161-6420(87)33350-0. [DOI] [PubMed] [Google Scholar]
- Borchert M., Lessell S. Progressive and recurrent nonarteritic anterior ischemic optic neuropathy. Am J Ophthalmol. 1988 Oct 15;106(4):443–449. doi: 10.1016/0002-9394(88)90881-1. [DOI] [PubMed] [Google Scholar]
- Eagling E. M., Sanders M. D., Miller S. J. Ischaemic papillopathy. Clinical and fluorescein aniographic review of forty cases. Br J Ophthalmol. 1974 Dec;58(12):990–1008. doi: 10.1136/bjo.58.12.990. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ellenberger C., Jr, Keltner J. L., Burde R. M. Acute optic neuropathy in older patients. Arch Neurol. 1973 Mar;28(3):182–185. doi: 10.1001/archneur.1973.00490210062008. [DOI] [PubMed] [Google Scholar]
- Feit R. H., Tomsak R. L., Ellenberger C., Jr Structural factors in the pathogenesis of ischemic optic neuropathy. Am J Ophthalmol. 1984 Jul 15;98(1):105–108. doi: 10.1016/0002-9394(84)90196-x. [DOI] [PubMed] [Google Scholar]
- Guyer D. R., Miller N. R., Auer C. L., Fine S. L. The risk of cerebrovascular and cardiovascular disease in patients with anterior ischemic optic neuropathy. Arch Ophthalmol. 1985 Aug;103(8):1136–1142. doi: 10.1001/archopht.1985.01050080048018. [DOI] [PubMed] [Google Scholar]
- Hayreh S. S. Anterior ischaemic optic neuropathy. I. Terminology and pathogenesis. Br J Ophthalmol. 1974 Dec;58(12):955–963. doi: 10.1136/bjo.58.12.955. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hayreh S. S. Anterior ischaemic optic neuropathy. III. Treatment, prophylaxis, and differential diagnosis. Br J Ophthalmol. 1974 Dec;58(12):981–989. doi: 10.1136/bjo.58.12.981. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hayreh S. S., Baines J. A. Occlusion of the posterior ciliary artery. 3. Effects on the optic nerve head. Br J Ophthalmol. 1972 Oct;56(10):754–764. doi: 10.1136/bjo.56.10.754. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hayreh S. S., Baines J. A. Occlusion of the posterior ciliary artery. I. Effects on choroidal circulation. Br J Ophthalmol. 1972 Oct;56(10):719–735. doi: 10.1136/bjo.56.10.719. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miller G. R., Smith J. L. Ischemic optic neuropathy. Am J Ophthalmol. 1966 Jul;62(1):103–115. doi: 10.1016/0002-9394(66)91685-0. [DOI] [PubMed] [Google Scholar]
- Miller G. R., Smith J. L. Ischemic optic neuropathy. Am J Ophthalmol. 1966 Jul;62(1):103–115. doi: 10.1016/0002-9394(66)91685-0. [DOI] [PubMed] [Google Scholar]
- Repka M. X., Savino P. J., Schatz N. J., Sergott R. C. Clinical profile and long-term implications of anterior ischemic optic neuropathy. Am J Ophthalmol. 1983 Oct;96(4):478–483. doi: 10.1016/s0002-9394(14)77911-5. [DOI] [PubMed] [Google Scholar]
- Sanders M. D. Ischaemic papillopathy. Trans Ophthalmol Soc U K. 1971;91:369–386. [PubMed] [Google Scholar]
- Tomsak R. L. Ischemic optic neuropathy associated with retinal embolism. Am J Ophthalmol. 1985 May 15;99(5):590–592. doi: 10.1016/s0002-9394(14)77966-8. [DOI] [PubMed] [Google Scholar]
