Skip to main content
Journal of Neurology, Neurosurgery, and Psychiatry logoLink to Journal of Neurology, Neurosurgery, and Psychiatry
. 1990 Oct;53(10):830–833. doi: 10.1136/jnnp.53.10.830

The natural history of non-arteritic anterior ischaemic optic neuropathy.

G V Sawle 1, C B James 1, R W Russell 1
PMCID: PMC488241  PMID: 2266361

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.

Full text

PDF
830

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. 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]
  2. 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]
  3. 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]
  4. 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]
  5. 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]
  6. 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]
  7. 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]
  8. 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]
  9. 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]
  10. 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]
  11. 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]
  12. 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]
  13. 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]
  14. 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]
  15. 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]
  16. Sanders M. D. Ischaemic papillopathy. Trans Ophthalmol Soc U K. 1971;91:369–386. [PubMed] [Google Scholar]
  17. 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]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group

RESOURCES