CLINICAL PROFILE OF PATIENTS WITH NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY PRESENTED TO A REFERRAL CENTER FROM 2003 TO 2008

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GHASEMI FALAVARJANI KH.; SOLTAN SANJARI M.; MODARES M.; AGHAMOHAMMADI F.

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Journal: ARCHIVES OF IRANIAN MEDICINE Year:2009 | Volume:12 | Issue:5 Page(s): 427-477

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Title

CLINICAL PROFILE OF PATIENTS WITH NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY PRESENTED TO A REFERRAL CENTER FROM 2003 TO 2008

Author(s)

GHASEMI FALAVARJANI KH. | SOLTAN SANJARI M. | MODARES M. | AGHAMOHAMMADI F. | Issue Writer Certificate

Keywords

DEMOGRAPHICS

DIABETES MELLITUS

NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY

VISUAL FIELD

Abstract

Background: We conducted this study to report the DEMOGRAPHICS and clinical profile of patients with NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY referred to a referral neuroophthalmology center in Iran.Methods: During a five-year period, 107 patients with NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY were studied. A detailed history of previous or current systemic diseases was obtained and a complete ophthalmic evaluation including best corrected visual acuity, color vision testing, and computerized perimetry was performed.Results: Sixty-six men and 41 women with a mean±SD age of 52.7±10.3 (range: 30 – 80) years were studied. Most (62.2%) of the patients aged more than 50 years. Twenty-two (20.5%) patients had had an episode of NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY in the fellow eye. Overall, 51 (47.7%) patients had no evidence of a previous or current systemic disease. DIABETES MELLITUS and hypertension were reported in 40.1% and 26.1% of the patients, respectively.The best corrected visual acuity was 20/200 or worse in 43 (40.1%) eyes and 20/40 or better in 43 (40.1%) eyes. The best corrected visual acuity was significantly better in nondiabetic patients (0.62±0.69 LogMAR) than diabetics (0.96±0.84, P=0.03). The VISUAL FIELD analysis of reliable fields (76 eyes) revealed that the mean deviation ranged from -32.6 to -1.3 dB with a mean±SD of -19.7±8.08 dB. Diffuse defect was the most prevalent defect detected on 36.8% of VISUAL FIELDs of the study eyes followed by inferior altitudinal defect (26.3%). In the fellow eyes, without any evidence of prior optic nerve problem, inferior and superior arcuate scotoma were found in 30% and 20% of the eyes, respectively.Conclusion: Characteristics of NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY patients in a population of Iranian patients were similar to NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY as described in previous studies, with the exception of higher proportion of younger patients and a higher propensity for diabetes. VISUAL FIELD defects were common in clinically normal fellow eyes.

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APA: Copy

GHASEMI FALAVARJANI, KH., SOLTAN SANJARI, M., MODARES, M., & AGHAMOHAMMADI, F.. (2009). CLINICAL PROFILE OF PATIENTS WITH NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY PRESENTED TO A REFERRAL CENTER FROM 2003 TO 2008. ARCHIVES OF IRANIAN MEDICINE, 12(5), 427-477. SID. https://sid.ir/paper/280497/en

Vancouver: Copy

GHASEMI FALAVARJANI KH., SOLTAN SANJARI M., MODARES M., AGHAMOHAMMADI F.. CLINICAL PROFILE OF PATIENTS WITH NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY PRESENTED TO A REFERRAL CENTER FROM 2003 TO 2008. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2009;12(5):427-477. Available from: https://sid.ir/paper/280497/en

IEEE: Copy

KH. GHASEMI FALAVARJANI, M. SOLTAN SANJARI, M. MODARES, and F. AGHAMOHAMMADI, “CLINICAL PROFILE OF PATIENTS WITH NONARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY PRESENTED TO A REFERRAL CENTER FROM 2003 TO 2008,” ARCHIVES OF IRANIAN MEDICINE, vol. 12, no. 5, pp. 427–477, 2009, [Online]. Available: https://sid.ir/paper/280497/en

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