PMID- 31741680 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191122 IS - 0165-8107 (Print) IS - 1744-506X (Electronic) IS - 0165-8107 (Linking) VI - 43 IP - 5 DP - 2019 Nov TI - Acute Unilateral Anterior Ischemic Optic Neuropathy Secondary to Optic Nerve Head Drusen: Report of a Rare Coexistence. PG - 330-333 LID - 10.1080/01658107.2018.1520900 [doi] AB - A 45-year-old white male noticed on awakening the painless loss of inferior vision in the left eye 2 days ago. He was otherwise well and his medical history was unremarkable. Visual acuity was 20/20 in OD and 20/32 in OS with a left inferior altitudinal defect and right blind spot enlargement demonstrable on visual field test. On fundus examination, both disc margins were blurred and the left disc was diffusely oedematous, with linear haemorrhages in the adjacent nerve fibre layer. Radiologic imaging and laboratory tests were unremarkable. Bilateral optic nerve head drusen (ONHD) was demonstrated by optical coherence tomography and fundus autofluorescence imaging. Unilateral acute non-arteritic anterior ischemic optic neuropathy (NAION) and concomitant bilateral ONHD were diagnosed. NAION may develop secondary to ONHD. Therefore, clinicians should be aware of this rare association and inform the patients about this risk. Patients with ONHD should be followed-up periodically in terms of possible ischemic complications. CI - (c) 2018 Taylor & Francis Group, LLC. FAU - Karti, Omer AU - Karti O AD - Department of Ophthalmology, University of Health Sciences, Bozyaka Training and Research Hospital, Izmir, Turkey. FAU - Top Karti, Dilek AU - Top Karti D AD - Department of Neurology, University of Health Sciences, Bozyaka Training and Research Hospital, Izmir, Turkey. FAU - Zengin, Mehmet Ozgur AU - Zengin MO AD - Department of Ophthalmology, University of Health Sciences, Bozyaka Training and Research Hospital, Izmir, Turkey. FAU - Yuksel, Bora AU - Yuksel B AD - Department of Ophthalmology, University of Health Sciences, Bozyaka Training and Research Hospital, Izmir, Turkey. FAU - Oguztoreli, Mustafa AU - Oguztoreli M AD - Department of Ophthalmology, University of Health Sciences, Bozyaka Training and Research Hospital, Izmir, Turkey. FAU - Kusbeci, Tuncay AU - Kusbeci T AD - Department of Ophthalmology, University of Health Sciences, Bozyaka Training and Research Hospital, Izmir, Turkey. LA - eng PT - Case Reports DEP - 20180919 PL - England TA - Neuroophthalmology JT - Neuro-ophthalmology (Aeolus Press) JID - 8408966 PMC - PMC6844512 OTO - NOTNLM OT - Fundus autofluorescence OT - ischemic optic neuropathy OT - optic nerve head drusen OT - optical coherence tomography EDAT- 2018/09/19 00:00 MHDA- 2018/09/19 00:01 PMCR- 2019/09/19 CRDT- 2019/11/20 06:00 PHST- 2018/02/27 00:00 [received] PHST- 2018/07/16 00:00 [revised] PHST- 2018/08/06 00:00 [accepted] PHST- 2019/11/20 06:00 [entrez] PHST- 2018/09/19 00:00 [pubmed] PHST- 2018/09/19 00:01 [medline] PHST- 2019/09/19 00:00 [pmc-release] AID - 1520900 [pii] AID - 10.1080/01658107.2018.1520900 [doi] PST - epublish SO - Neuroophthalmology. 2018 Sep 19;43(5):330-333. doi: 10.1080/01658107.2018.1520900. eCollection 2019 Nov.