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Year : 2016  |  Volume : 64  |  Issue : 1  |  Page : 87-88

An unusual presentation of nonarteritic ischemic optic neuropathy with subretinal fluid treated with intravitreal bevacizumab

1 Vitreoretina Services, Netra Mandir Eye Institute, Mumbai, Maharashtra, India
2 Smt. Kanuri Santhamma Center for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, Telangana, India

Correspondence Address:
Vivek Pravin Dave
Consultant Vitreo Retina, Netra Mandir Eye Institute, Madona Colony Road, Borivali W, Mumbai - 400 103, Maharashtra
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.178143

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A 62-year-old hypertensive male presented with acute nonarteritic ischemic optic neuropathy (NAION) with contiguous macular edema and subretinal fluid in the right eye. Presenting vision was 20/1000. The patient was treated with intravitreal bevacizumab 1.25 mg/0.05 ml. At 1 month follow-up, the macular edema and the optic nerve head edema completely resolved with a good visual improvement up to 20/40. The visual improvement was maintained at the last follow-up 6 months postinjection. Intravitreal bevacizumab may be a good option for acute NAION especially in an unusual presentation with macular edema and subretinal fluid.

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