Skip to main content

Advertisement

SpringerLink
Log in

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

  • Quiz Cases
  • Published:
Neurological Sciences Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Kerr NM, Chew SS, Danesh-Meyer HV (2009) Nonarteritic anterior ischaemic optic neuropathy: a review and update. J Clin Neurosci 16:994–1000

    Article  PubMed  Google Scholar 

  2. Arnold AC (2003) Pathogenesis of nonarteritic anterior ischemic optic neuropathy. J Neuroophthalmol 23:157–163

    Article  PubMed  Google Scholar 

  3. Buerger L (1908) Thromboangiitis obliterans: a study of the vascular lesions leading to presenile gangrene. Am J Med Sci 136:567–580

    Article  Google Scholar 

  4. Mills JL, Taylor LM, Porter JM (1987) Buerger’s disease in the modern era. Am J Surg 154:123–129

    Article  PubMed  CAS  Google Scholar 

  5. Coppeto JR, Adamczyk D (1988) Anterior ischemic optic neuropathy in Buerger’s disease. Ann Ophthalmol 20:332–334

    PubMed  CAS  Google Scholar 

  6. Bernardczykowa A, Zawilski J (1991) Fundus oculi changes in chronic ischemia of the lower extremities. Klin Ocz 93:291–292

    CAS  Google Scholar 

  7. Homma S, Tsushima N, Minamiyama M, Hayashi T, Matsuo H (2000) Microvascular blood is distributed more to venules than to arterioles in patients with Buerger’s disease. Observation of bulbar conjunctiva by intravital microscope system. Int Angiol 19:135–141

    PubMed  CAS  Google Scholar 

  8. Eris E, Sucu ME, Perente I, Alkın Z, Ozkaya A, Tarakcioglu HN (2017) Retinal artery occlusion secondary to Buerger’s disease. Case Rep Ophthalmol Med 2017:3637207

    PubMed  PubMed Central  Google Scholar 

  9. Hayreh SS (2009) Management of non-arteritic anterior ischemic optic neuropathy. Graefes Arch Clin Exp Ophthalmol 247:1595–1600

    Article  PubMed  Google Scholar 

  10. Hattenhauer MG, Leavitt JA, Hodge DO, Grill R, Gray DT (1997) Incidence of nonarteritic anterior ischemic optic neuropathy. Am J Ophthalmol 123:103–107

    Article  PubMed  CAS  Google Scholar 

  11. Hayreh SS, Zimmerman B (2005) Visual field abnormalities in nonarteritic anterior ischemic optic neuropathy: their pattern and prevalence at initial examination. Arch Ophthalmol 123:1554–1562

    Article  PubMed  Google Scholar 

  12. Hayreh SS, Zimmerman MB (2008) Non-arteritic anterior ischemic optic neuropathy: role of systemic corticosteroid therapy. Graefes Arch Clin Exp Ophthalmol 246:1029–1046

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  13. Mathews MK (2005) Nonarteritic anterior ischemic optic neuropathy. Curr Opin Ophthalmol 16:341–345

    Article  PubMed  Google Scholar 

  14. Lazarides MK, Georgiadis GS, Papas TT, Nikolopoulos ES (2006) Diagnostic criteria and treatment of Buerger’s disease: a review. Int J Low Extrem Wounds 5:89–95

    Article  PubMed  CAS  Google Scholar 

  15. Vijayakumar A, Tiwari R, Kumar Prabhuswamy V (2013) Thromboangiitis obliterans (Buerger's disease)—current practices. Int J Inflam 2013:156905

    Article  PubMed  PubMed Central  Google Scholar 

  16. Liu Y, Shakur Y, Yoshitake M, Ji K (2001) Cilostazol (pletal): a dual inhibitor of cyclic nucleotide phosphodiesterase type 3 and adenosine uptake. Cardiovasc Drug Rev 19:369–386

    Article  PubMed  CAS  Google Scholar 

  17. Pomeranz HD (2017) Erectile dysfunction agents and nonarteritic anterior ischemic optic neuropathy. Neurol Clin 35:17–27

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Bozyaka Training and Research Hospital, Department of Ophthalmology, Saim Çıkrıkcı Cad. No:59, Bozyaka, İzmir, Turkey

    Anil Korkmaz, Omer Karti, Bora Yüksel, Mehmet Ozgur Zengin & Tuncay Kusbeci

  2. Bozyaka Training and Research Hospital, Department of Neurology, İzmir, Turkey

    Dilek Top Karti

Authors
  1. Anil Korkmaz
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Omer Karti
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Dilek Top Karti
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Bora Yüksel
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Mehmet Ozgur Zengin
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Tuncay Kusbeci
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Omer Karti.

Ethics declarations

Conflict of interests

The authors declare that they have no conflict of interest.

Patient consent

Patient consented in writing to publication of the case.

Authorship

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

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Korkmaz, A., Karti, O., Top Karti, D. et al. Could Buerger’s disease cause nonarteritic anterior ischemic optic neuropathy?: a rare case report. Neurol Sci 39, 1309–1312 (2018). https://doi.org/10.1007/s10072-018-3325-2

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10072-018-3325-2

Keywords

Search

Navigation