Ischemic Optic Neuropathies: Update

  • Elizabeth M. Palkovacs
  • Karl C. Golnik
Part of the Current Practices in Ophthalmology book series (CUPROP)


Compromised blood supply to the optic nerve with concurrent ischemic damage is a common cause of optic neuropathy and has many variants. This chapter focuses on this entity and its types. A brief description of the relevant clinical anatomy is included along with a short description of the pertinent points to be considered during history taking and clinical examination of these patients. Nonarteritic anterior ischemic optic neuropathy (NAION), which is the commonest type of ischemic optic neuropathy, is discussed in detail—including clinical features, investigations, and recent advances and trials for the management of this entity. A complete review of arteritic ischemic optic neuropathy—associated with giant cell arteritis (GCA)—is also included including management of the acute episode and long-term management. Less common variants such as posterior ischemic optic neuropathy (PION) are also discussed to provide a complete overview of the topic.


Ischemic optic neuropathy Nonarteritic anterior ischemic optic neuropathy (NAION) Giant cell arteritis (GCA) Posterior ischemic optic neuropathy (PION) Diabetic papillopathy 


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Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Elizabeth M. Palkovacs
    • 1
  • Karl C. Golnik
    • 2
  1. 1.Northern California Kaiser Permanente Medical GroupSouth San FranciscoUSA
  2. 2.University of Cincinnati & the Cincinnati Eye InstituteCincinnatiUSA

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