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Anterior ischemic optic neuropathy after uncomplicated scleral buckling surgery

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Abstract

Background

To report a case of non-arteritic anterior ischemic optic neuropathy (NAION) observed after uncomplicated scleral buckle placement.

Methods

A 57-year-old man presented with a rhegmatogenous retinal detachment of the left eye. He underwent uncomplicated scleral buckle placement and C3F8 injection. Perioperative intraocular pressures were normal.

Results

On postoperative day 24, fundus examination revealed swelling of the left optic nerve and features of an optic neuropathy (visual field defect, relative afferent pupillary defect). Fluorescein angiography did not reveal delayed choroidal filling. Review of systems and laboratory investigations were not consistent with giant cell arteritis.

Conclusions

Non-arteritic anterior ischemic optic neuropathy may develop after uncomplicated scleral buckling surgery.

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Author information

Authors and Affiliations

  1. Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH, USA

    Mehran Taban

  2. Youngstown, OH, USA

    Mithlesh C. Sharma

  3. Department of Ophthalmology, University of Minnesota, 420 Delaware St SE - MMC 493, Minneapolis, MN, 55455, USA

    Michael S. Lee

Authors
  1. Mehran Taban
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  2. Mithlesh C. Sharma
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  3. Michael S. Lee
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Corresponding author

Correspondence to Michael S. Lee.

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Taban, M., Sharma, M.C. & Lee, M.S. Anterior ischemic optic neuropathy after uncomplicated scleral buckling surgery. Graefe's Arch Clin Exp Ophthalmo 244, 1370–1372 (2006). https://doi.org/10.1007/s00417-005-0249-3

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  • DOI: https://doi.org/10.1007/s00417-005-0249-3

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