Nonarteritic anterior ischaemic optic neuropathy in Addison's disease

Eye (Lond). 2010 Oct;24(10):1618-20. doi: 10.1038/eye.2010.101. Epub 2010 Jul 30.

Abstract

Purpose: To report three cases of Nonarteritic anterior ischaemic optic neuropathy (NAAION) in patients with Addison's disease.

Methods: We present a retrospective review of patients presenting with NAAION with underlying Addison's disease.

Results: Three eyes of two young patients presented with NAAION. Both patients had underlying Addison's disease with episodes of prolonged hypotension.

Conclusion: To our knowledge, this is the first published report of NAAION associated with Addison's disease. As hypotension may be one of the few situations, in which NAAION may be treatable and the visual loss reversible, it is important to recognize and treat sustained episodes of hypotension in these individuals.

Publication types

  • Case Reports

MeSH terms

  • Addison Disease / complications*
  • Adult
  • Female
  • Humans
  • Hypotension / complications
  • Male
  • Middle Aged
  • Optic Neuropathy, Ischemic / complications*
  • Optic Neuropathy, Ischemic / diagnosis
  • Retrospective Studies