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Ischemic Optic NeuritisAka: Ischemic Optic Neuropathy, Anterior Ischemic Optic Neuropathy

Pathophysiology
1. Occlusion of posterior ciliary arteries
Epidemiology
1. Onset after age 50 years
Symptoms
1. Acute painless dimming of vision
Signs
1. Central vessel changes
2. Optic disc edema
3. Ischemic Iritis
4. Large blind spot
Management
1. Urgent Ophthalmology referral
2. Pred Forte 1-2 drops in affected eye qid
3. Aspirin 80 mg qd

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 2/26/2010. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.