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Corticosteroid Therapy in Patients with Non-arteritic Anterior Ischemic Optic Neuropathy

Tomislav Vidović ; University of Zagreb, University Hospital Center Zagreb, Department of Ophthalmology, Zagreb, Croatia
Branimir Cerovski ; University of Zagreb, University Hospital Center Zagreb, Department of Ophthalmology, Zagreb, Croatia
Sanja Perić ; University of Zagreb, University Hospital Center Zagreb, Department of Ophthalmology, Zagreb, Croatia
Rajko Kordić ; University of Zagreb, University Hospital Center Zagreb, Department of Ophthalmology, Zagreb, Croatia
Danijela Mrazovac ; University of Zagreb, University Hospital Center Zagreb, Department of Ophthalmology, Zagreb, Croatia


Puni tekst: engleski pdf 326 Kb

str. 63-66

preuzimanja: 263

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Sažetak

Non-arteritic anterior ischemic optic neuropathy is one of the most common conditions affecting the optic nerve in the
elderly. It may lead to severe visual loss. Typical symptoms are painless impairment of visual function accompanied by
relative afferent pupillary defect, edema of the optic disc and visual fi eld defects. Aim is to present 38 patients with nonarteritic
anterior ischemic optic neuropathy who were treated with corticosteroid therapy. This prospective study involved
38 patients, 20 men and 18 women aged 60–75 years who were treated with corticosteroid therapy. The study included
patients with visual acuity in the affected eye from 0.1 to 0.8 according to Snellen. Every patient underwent clinical examination,
the Octopus 900 perimetry in G program, laboratory testing, while the compressive optic neuropathy was rule
out with MSCT of the brain and orbits. The most common forms of visual fi eld defect are altitudinal defect and diffuse
depression. Corticosteroid therapy led to recovery in 65% of patient , in 30% of patients did not change, while the deterioration
occurred in 5% of patients.

Ključne riječi

optic nerve disease, optic neuropathy, methylprednisolone, perimetry

Hrčak ID:

147689

URI

https://hrcak.srce.hr/147689

Posjeta: 413 *