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眼角膜反射消失、视野缺损、继发性视神经萎缩、视力障碍、偏盲、盲点、眼痛、低血压、眼底改变
Ischemic optic neuropathy is ischemia of the optic nerve, classified as anterior (AION) and arteritic (giant-cell arteritis) vs non-arteritic. Clinical: sudden painless monocular visual loss with altitudinal field defect and pale swollen disc. Arteritic: urgent ESR/CRP/temporal artery biopsy and high-dose IV steroids to prevent bilateral blindness. Non-arteritic: control vascular risk factors; no proven treatment; monitor fellow eye.
Sudden painless monocular visual loss; altitudinal defect; pale swollen disc; by arteritic/non-arteritic
Ischemia of optic-nerve head (arteritic vasculitis or non-arteritic microvascular insufficiency) causes axonal infarct.
Arteritic - urgent ESR/CRP/biopsy + high-dose IV steroids; non-arteritic - control vascular risk, monitor fellow eye
Urgent GCA treatment; control vascular risk.
It is recommended to visit the Ophthalmology department; an appointment can be booked on this platform before the visit.
Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.
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