Journal of the Korean Ophthalmological Society 1987;28(6):1371-1377.
Published online June 1, 1987.
A Case of Anterior Ischemic Optic Neuropathy.
Sung Gyun Shin, Ill Han Yoon, In Gun Won
Department of Ophthalmology, Pusan Paik Hospital, Inje College, Pusan, Korea.
전반부 허혈성 시신경증 1 예
신성균(Sung Gyun Shin),윤일한(Il Han Yoon),원인건(In Gun Won)
Abstract
Anterior ischemic optic neuropathy is the general term of disease causing visual disturbance by stenosis or obstruction of nutritional vessels of optic nerve with or without organic lesion. Patient was a 64 year old man who visited our hospital because of further evaluation of sudden visual loss and loss of lower visual field of left eye. In this case, it is observed that visual acuity of left eye was decreased suddenly and visual field of left eye was constricted on inferior area on 4 month after initial visit, visual acuity and visual field of right eye were affected. On the visual evoked potential, bilateral optic pathway disturbance finding is seen, faulty perfusion of the disc capillary and absence or decrease of the choroidal filling are seen by fluorescein angiography. Thus, anterior ischemic optic neuropathy is suspected by history, visual field, visual evoked potential and fluorescein angiography. This case was presented and a brief review of literatures has been described.


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