Diagnosis and treatment of non-arteritic anterior ischemic optic neuropathy

VernacularTitle:努力提高非动脉炎性前部缺血性视神经病变的诊断和治疗水平
Author: Runsheng WANG ; Peilin Lü
Publication Type:Journal Article
Keywords: Optic neuropathy,ischemic/diagnosis; Optic neuropathy,ischemic/therapy; Editorial
From: Chinese Journal of Ocular Fundus Diseases 2010;26(4):301-305
CountryChina
Language:Chinese
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.