Anterior ischemic optic neuropathy associated with macrocytic anemia

Document Type

Article

Abstract

A 37-year-old man experienced the acute onset of blurred vision, particularly in the inferior hemifield of his left eye. Neuro-ophthalmic examination showed a left afferent pupillary defect, a left inferior altitudinal visual field deficit, bilateral nerve fiber layer infarcts and hemorrhages, and left optic disc elevation with edema of the nerve fiber bundle. Complete examination and laboratory studies revealed only a severe folate deficiency anemia. This is the first well-documented report of anterior ischemic optic neuropathy associated with anemia in the absence of other systemic abnormalities.

Medical Subject Headings

Adult; Anemia, Macrocytic (complications); Folic Acid Deficiency (complications); Fundus Oculi; Humans; Ischemia (complications); Male; Optic Nerve (blood supply); Retinal Hemorrhage (etiology); Visual Fields

Publication Date

12-1-1990

Publication Title

Journal of clinical neuro-ophthalmology

ISSN

0272-846X

Volume

10

Issue

4

First Page

244

Last Page

7

PubMed ID

2150841

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