Gkoumas Evangelos, Bontzos Georgios, Xirou Tina, Chatzispasou Efterpi, Kabanarou Stamatina
Ophthalmology, Korgialenio-Benakio General Hospital, Athens, GRC.
Cureus. 2020 Nov 22;12(11):e11627. doi: 10.7759/cureus.11627.
Non-arteritic anterior ischemic optic neuropathy (NAION) is a rare complication following acute bleeding. Patients present with varying vision loss and visual field defects. NAION is more commonly developed in patients with systemic disorders that may affect normal blood flow such as hypertension and diabetes. In this case, we report a 54-year-old man who complained of vision blurring following an episode of acute gastric bleeding. This report aims to review the pathology of this condition and present the findings of newer non-invasive imaging modalities of the vascular layers of the posterior pole of the eye like optical coherence tomography angiography (OCTA), which facilitates the proper diagnosis and prognosis of such cases. Finally, we present the management options for this patient with antiplatelet treatment.
非动脉炎性前部缺血性视神经病变（NAION）是急性出血后的一种罕见并发症。患者表现为不同程度的视力丧失和视野缺损。NAION在患有可能影响正常血流的全身性疾病（如高血压和糖尿病）的患者中更常见。在此病例中，我们报告一名54岁男性，他在急性胃出血发作后出现视力模糊。本报告旨在回顾该病症的病理，并展示眼后极血管层的新型非侵入性成像模式（如光学相干断层扫描血管造影术（OCTA））的结果，这有助于对此类病例进行正确的诊断和预后评估。最后，我们介绍了该患者抗血小板治疗的管理方案。
