Simultaneous bilateral nonarteritic anterior ischemic optic neuropathy in a patient with a history of diffuse large B-cell lymphoma
Nonarteritic anterior ischemic optic neuropathy (NAAION) has a poorly understood etiology, and the onset of simultaneous bilateral NAAION in a patient
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| Veröffentlicht in: | The Ochsner journal 2015, Vol.15 (1), p.106-109 |
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| creator | Lazar, David B Lemor, Daniel Brown, Archie Nussdorf, Jonathan D |
| description | Nonarteritic anterior ischemic optic neuropathy (NAAION) has a poorly understood etiology, and the onset of simultaneous bilateral NAAION in a patient |
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We present the case of a patient with acute painless monocular vision loss and bilateral optic disc edema who subsequently developed painless vision loss in the fellow eye. The patient's history was significant for diffuse large B-cell lymphoma, and our pressing diagnostic concern was to determine if his vision loss and bilateral optic disc changes represented lymphomatous infiltrates. A complete ocular exam demonstrated findings consistent with simultaneous bilateral NAAION. After an extensive systemic workup for malignancy with central nervous system involvement, vasculitis, and other entities associated with NAAION, we determined that the patient's primary risk factor for developing bilateral ischemic optic neuropathies was his crowded optic discs.
This case supports the hypothesis that a crowded optic disc is a sufficient primary risk factor for developing NAAION.</description><identifier>ISSN: 1524-5012</identifier><identifier>PMID: 25829891</identifier><language>eng</language><publisher>United States: Ochsner Clinic Foundation Academic Center - Publishing Services</publisher><subject>Case Reports and Clinical Observations ; Edema ; Family medical history ; Hemorrhage ; Lymphoma ; Medical imaging ; Patients</subject><ispartof>The Ochsner journal, 2015, Vol.15 (1), p.106-109</ispartof><rights>Copyright © 2015. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the associated terms available at http://www.ochsnerjournal.org/content/permissions</rights><rights>Academic Division of Ochsner Clinic Foundation 2015</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4365837/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4365837/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,4024,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25829891$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lazar, David B</creatorcontrib><creatorcontrib>Lemor, Daniel</creatorcontrib><creatorcontrib>Brown, Archie</creatorcontrib><creatorcontrib>Nussdorf, Jonathan D</creatorcontrib><title>Simultaneous bilateral nonarteritic anterior ischemic optic neuropathy in a patient with a history of diffuse large B-cell lymphoma</title><title>The Ochsner journal</title><addtitle>Ochsner J</addtitle><description>Nonarteritic anterior ischemic optic neuropathy (NAAION) has a poorly understood etiology, and the onset of simultaneous bilateral NAAION in a patient <50 years without identifiable systemic risk factors is rare.
We present the case of a patient with acute painless monocular vision loss and bilateral optic disc edema who subsequently developed painless vision loss in the fellow eye. The patient's history was significant for diffuse large B-cell lymphoma, and our pressing diagnostic concern was to determine if his vision loss and bilateral optic disc changes represented lymphomatous infiltrates. A complete ocular exam demonstrated findings consistent with simultaneous bilateral NAAION. After an extensive systemic workup for malignancy with central nervous system involvement, vasculitis, and other entities associated with NAAION, we determined that the patient's primary risk factor for developing bilateral ischemic optic neuropathies was his crowded optic discs.
This case supports the hypothesis that a crowded optic disc is a sufficient primary risk factor for developing NAAION.</description><subject>Case Reports and Clinical Observations</subject><subject>Edema</subject><subject>Family medical history</subject><subject>Hemorrhage</subject><subject>Lymphoma</subject><subject>Medical imaging</subject><subject>Patients</subject><issn>1524-5012</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpVUE1LxDAQ7UFx19W_IAHPhXw0bXMRdPELFjyo5zJtk22WNKlpqvTsHzeLq-hp3rwZ3sx7R8mScJqlHBO6SE7HcYdxhnlGT5IF5SUVpSDL5PNZ95MJYKWbRlRrA0F6MMg6Cz5CHXSDwO6R80iPTSf7yLhhz1s5eTdA6GakLQIUoZY2oA8duth2egzOz8gp1GqlplEiA34r0U3aSGOQmfuhcz2cJccKzCjPD3WVvN7dvqwf0s3T_eP6epMONCchVWVd86LEomiLouU5loTRhikmMgaKqAwKgQFKkeeijkYVLWROQXBRE5Ag2Sq5-tYdprqXbRNfjVarwese_Fw50NX_idVdtXXvVcZyXrIiClweBLx7m-QYqp2bvI0_V5TESDERIo9bF3_P_Or_hM6-AK3YgPU</recordid><startdate>2015</startdate><enddate>2015</enddate><creator>Lazar, David B</creator><creator>Lemor, Daniel</creator><creator>Brown, Archie</creator><creator>Nussdorf, Jonathan D</creator><general>Ochsner Clinic Foundation Academic Center - Publishing Services</general><general>the Academic Division of Ochsner Clinic Foundation</general><scope>NPM</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>NAPCQ</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>5PM</scope></search><sort><creationdate>2015</creationdate><title>Simultaneous bilateral nonarteritic anterior ischemic optic neuropathy in a patient with a history of diffuse large B-cell lymphoma</title><author>Lazar, David B ; Lemor, Daniel ; Brown, Archie ; Nussdorf, Jonathan D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p261t-f8bb578097d77d560e132c3f3943af1f4a790aa89669b054f27e62a959b1aeae3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Case Reports and Clinical Observations</topic><topic>Edema</topic><topic>Family medical history</topic><topic>Hemorrhage</topic><topic>Lymphoma</topic><topic>Medical imaging</topic><topic>Patients</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lazar, David B</creatorcontrib><creatorcontrib>Lemor, Daniel</creatorcontrib><creatorcontrib>Brown, Archie</creatorcontrib><creatorcontrib>Nussdorf, Jonathan D</creatorcontrib><collection>PubMed</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Nursing & Allied Health Premium</collection><collection>Access via ProQuest (Open Access)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Ochsner journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lazar, David B</au><au>Lemor, Daniel</au><au>Brown, Archie</au><au>Nussdorf, Jonathan D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Simultaneous bilateral nonarteritic anterior ischemic optic neuropathy in a patient with a history of diffuse large B-cell lymphoma</atitle><jtitle>The Ochsner journal</jtitle><addtitle>Ochsner J</addtitle><date>2015</date><risdate>2015</risdate><volume>15</volume><issue>1</issue><spage>106</spage><epage>109</epage><pages>106-109</pages><issn>1524-5012</issn><abstract>Nonarteritic anterior ischemic optic neuropathy (NAAION) has a poorly understood etiology, and the onset of simultaneous bilateral NAAION in a patient <50 years without identifiable systemic risk factors is rare.
We present the case of a patient with acute painless monocular vision loss and bilateral optic disc edema who subsequently developed painless vision loss in the fellow eye. The patient's history was significant for diffuse large B-cell lymphoma, and our pressing diagnostic concern was to determine if his vision loss and bilateral optic disc changes represented lymphomatous infiltrates. A complete ocular exam demonstrated findings consistent with simultaneous bilateral NAAION. After an extensive systemic workup for malignancy with central nervous system involvement, vasculitis, and other entities associated with NAAION, we determined that the patient's primary risk factor for developing bilateral ischemic optic neuropathies was his crowded optic discs.
This case supports the hypothesis that a crowded optic disc is a sufficient primary risk factor for developing NAAION.</abstract><cop>United States</cop><pub>Ochsner Clinic Foundation Academic Center - Publishing Services</pub><pmid>25829891</pmid><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 1524-5012 |
| ispartof | The Ochsner journal, 2015, Vol.15 (1), p.106-109 |
| issn | 1524-5012 |
| language | eng |
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| source | DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Case Reports and Clinical Observations Edema Family medical history Hemorrhage Lymphoma Medical imaging Patients |
| title | Simultaneous bilateral nonarteritic anterior ischemic optic neuropathy in a patient with a history of diffuse large B-cell lymphoma |
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