Neurological Sciences

, Volume 39, Issue 7, pp 1309–1312 | Cite as

Could Buerger’s disease cause nonarteritic anterior ischemic optic neuropathy?: a rare case report

  • Anil Korkmaz
  • Omer KartiEmail author
  • Dilek Top Karti
  • Bora Yüksel
  • Mehmet Ozgur Zengin
  • Tuncay Kusbeci
Quiz Cases


We present an interesting case with nonarteritic anterior ischemic optic neuropathy (NAION) accompanied by Buerger’s disease. A 43-year-old man was referred to our neuro-ophthalmology clinic with a complaint of visual deterioration in the left eye that started 5 days ago. He suffered from Buerger’s disease, and he had acute pain in the right lower limb below the knee. His best corrected visual acuity was 10/10 in the right eye and 2/10 in the left eye by Snellen chart. There was a relative afferent pupil defect in the left eye. The right optic disc was normal on fundus examination, and blurring, hemorrhagic swelling was found at the left optic disc. Inferior altitudinal visual field defect was observed in the left eye. Neurological examination was normal. Computed tomography angiography scan revealed occlusion in the right posterior tibial artery. Brain imaging and laboratory tests such as blood analyses, genetic screening, coagulation, and lipid panels were unremarkable. NAION may occur in patients with Buerger’s disease, but it is extremely rare. Therefore, clinicians should be aware of this rare association.


Buerger’s disease Anterior ischemic optic neuropathy 


Compliance with ethical standards

Conflict of interests

The authors declare that they have no conflict of interest.

Patient consent

Patient consented in writing to publication of the case.


All authors contributed significantly to the creation of this manuscript, each fulfilled criteria as established by the ICMJE.


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Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Bozyaka Training and Research Hospital, Department of OphthalmologyİzmirTurkey
  2. 2.Bozyaka Training and Research Hospital, Department of NeurologyİzmirTurkey

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