Retina-Vitreous
2011 , Vol 19 , Num 4
Anterior Ischemic Optic Neuropathy Following Abortion Related Severe Hemorrhage
1Kırıkkale Üniversitesi Tıp Fakültesi, Göz Hastalıkları AD., Ankara, Yrd. Doç. Dr.2Kırıkkale Üniversitesi Tıp Fakültesi, Nöroloji AD., Ankara, Doç. Dr.
3Kırıkkale Üniversitesi Tıp Fakültesi, Göz Hastalıkları AD., Ankara, Prof. Dr.
4Fatih Üniversitesi Tıp Fakültesi, Kadın Hst. ve Doğum AD., Ankara, Yrd. Doç. Dr. Nonarteritic anterior ischemic optic neuropathy (NAION) is usually considered as a disease of aged and atherosclerotic patients. Nevertheless it has been well documented in postoperative, post hemorrhagic and hypovolemic cases in young patients. Here we report a case of a NAION developing after an abortion related massive hemorrhage in a 34 year-old patient. Visual acuities of the patient who presented with visual loss in her left eye, were 20/20 in the right eye and hand motions in the left eye, at presentation. Ophthalmic examination revealed bilateral optic disc edema and peripapillary hemorrhages. Following management of systemic hypotension and anemia she was treated with systemic corticosteroids. Finally, she was recovered with a pale optic disc and visual acuity of 20/80 in her left eye. NAION should be in the differential diagnosis of visual loss after severe hemorrhage in young patients and corticosteroids may play an important role in the treatment plan. Keywords : Anterior ischemic optic neuropathy, abortion, severe hemorrhage