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Year : 2010  |  Volume : 58  |  Issue : 5  |  Page : 437-440

Anterior ischemic optic neuropathy precipitated by acute primary angle closure

Department of Glaucoma, Jadhavbhai Nathamal Singhvi, Medical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai-600 006, India

Correspondence Address:
Nikhil S Choudhari
Medical Research Foundation, Sankara Nethralaya, 18, College Road, Chennai-600 006
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.67070

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A 59-year-old man with a history of longstanding systemic hypotension developed asymmetric non-arteritic anterior ischemic optic neuropathy (NAION) apparently precipitated by bilateral sequential acute primary angle closure. NAION is very rarely reported in association with raised intraocular pressure. In contrast to optical coherence tomography, the failure of scanning laser polarimetry to detect axonal swelling was another interesting finding. Possible reasoning for these observations is discussed.

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