Bilateral Sequential Anterior Ischaemic Optic Neuropathy After Coronary Artery Bypass Surgery

ABSTRACT A 63 year-old man underwent coronary artery bypass surgery. The day following the surgery he complained of blurred vision in the lower-half of the visual field of his left eye. Two days after the surgery blurred vision also developed in his right eye. Sequential involvement of the eyes and...

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Bibliographic Details
Published in:Neuro-ophthalmology (Amsterdam : Aeolus Press. 1980) 2009-09, Vol.33 (5), p.261-263
Main Authors: Goktas, Altan, Goktas, Sertan
Format: Article
Language:English
Subjects:
anterior ischaemic optic neuropathy
coronary artery bypass surgery
sequential involvement
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Summary:ABSTRACT A 63 year-old man underwent coronary artery bypass surgery. The day following the surgery he complained of blurred vision in the lower-half of the visual field of his left eye. Two days after the surgery blurred vision also developed in his right eye. Sequential involvement of the eyes and elevation of the erythrocyte sedimentation rate led to consideration of a diagnosis of arteritic anterior ischaemic optic neuropathy. A temporal artery biopsy was performed to rule out giant cell arteritis which was negative and a final diagnosis of non-arteritic anterior ischaemic optic neuropathy was made. This case emphasizes that sequential involvement of the eyes may be seen in patients with non-arteritic anterior ischaemic optic neuropathy associated with non-ocular surgery although simultaneous involvement is more commonly seen in this situation.
ISSN:0165-8107
1744-506X
DOI:10.3109/01658100903225937