J Korean Ophthalmol Soc > Volume 55(1); 2014 > Article
Journal of the Korean Ophthalmological Society 2014;55(1):161-166.
DOI: https://doi.org/10.3341/jkos.2014.55.1.161    Published online January 15, 2014.
Bilateral Anterior Ischemic Optic Neuropathy after Gastrointestinal Bleeding.
Jae Sang Ko, Gyu Ah Kim, Joo Youn Shin, Suk Ho Byeon
1Department of Ophthalmology, EYE and ENT Hospital, Severance Hospital, The Institute of Vision Research, Yonsei University College of Medicine, Seoul, Korea. shbyeon@yuhs.ac
2Siloam Eye Hospital, Seoul, Korea.
위장관 출혈 후 발생한 양측성 앞허혈시신경병증 1예
고재상1⋅김규아1,2⋅신주연1⋅변석호1
Department of Ophthalmology, EYE and ENT Hospital, Severance Hospital,
The Institute of Vision Research, Yonsei University College of Medicine1, Seoul, Korea
Siloam Eye Hospital2, Seoul, Korea
Abstract
PURPOSE
To introduce a case of bilateral anterior ischemic optic neuropathy (AION) after blood loss due to gastrointestinal bleeding. CASE SUMMARY: A 50-year-old male patient with a history of type 1 diabetes mellitus and alcoholic liver cirrhosis presented with 3 days of melena and 1 day of general weakness and dizziness. Initial hemoglobin level was 4.7 g/dL and blood pressure was 100/55 mm Hg. On esophagogastroduodenoscopy, a peptic ulcer with evident recent bleeding was observed. After transfusion of packed red blood cells and endoscopic hemostasis of bleeding, his general condition improved but he complained of blurred vision in both eyes which developed immediately after the onset of melena. Initial best-corrected visual acuity (BCVA) was 0.5 in his right eye and 0.6 in the left eye. On fundus examination, swollen optic disc with blurred margin was noted and he had constricted visual fields. On follow-up, the patient received posterior subtenon triamcinolone injection in his right eye. After the procedure, the BCVA was improved to 0.8 in both eyes, but he still had bilateral pale optic disc with constricted visual field. CONCLUSIONS: In the case of visual loss after recent blood loss, AION should be considered as a diagnosis, which can present as bilateral involvement.
Key Words: Acute blood loss;Bilateral anterior ischemic optic neuropathy


ABOUT
BROWSE ARTICLES
EDITORIAL POLICY
FOR CONTRIBUTORS
Editorial Office
SKY 1004 Building #701
50-1 Jungnim-ro, Jung-gu, Seoul 04508, Korea
Tel: +82-2-583-6520    Fax: +82-2-583-6521    E-mail: kos08@ophthalmology.org                

Copyright © 2021 by Korean Ophthalmological Society.

Developed in M2PI

Close layer
prev next