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The Function of the Fellow Eye in Patients with Unilateral Nonarteritic Anterior Ischemic Optic Neuropathy
한 눈의 비동맥염 앞허혈시신경병증으로 내원한 환자의 반대편 눈의 기능
JKOS 2019 Sep;60(9):881-6
Published online September 15, 2019;  https://doi.org/10.3341/jkos.2019.60.9.881
Copyright © 2019 The Korean Ophthalmological Society.
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Min Su Baek, MD, Young Seung Seo, MD, PhD, Sung Eun Kyung, MD, PhD
백민수 · 서영승 · 경성은

Department of Ophthalmology, Dankook University College of Medicine, Cheonan, Korea
단국대학교 의과대학 안과학교실
Received February 21, 2019; Revised April 10, 2019; Accepted August 16, 2019.
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
 Abstract
Purpose: To investigate the function of the fellow eye in patients with unilateral nonarteritic anterior ischemic optic neuropathy (NAION).
Methods: From 2009 to March 2018, 18 patients with NAION who underwent bilateral visual field examinations and follow-up visits at least two times were enrolled in this study. Initial visual acuity, final visual acuity, degree of visual field defects, the cup-disc (C/D) ratio of the fellow eye, and the presence or absence of cardiovascular disease was retrospectively analyzed using medical records.
Results: The fellow eye mean best-corrected visual acuity was 0.03 ± 0.53 (logMAR) and the mean visual field defect was -4.68 ± 3.65 dB in 18 eyes of patients with unilateral NAION (p = 0.007 and p = 0.001, respectively). The C/D ratios were divided into two groups: > 0.3 and < 0.3. The visual field defect was improved significantly from -4.92 dB to -2.37 dB in the group with optic disc ratios < 0.3 (p = 0.013). When the changes in visual field defects were analyzed according to the presence or absence of cardiovascular disease, the visual field defects were improved from -5.65 dB to -4.49 dB in patients with cardiovascular disease, and improved from -3.69 dB to -1.46 dB in patients without cardiovascular disease (p = 0.025 and p = 0.021, respectively).
Conclusions: In patients with unilateral NAION, reduced function in the fellow eye may appear temporarily, so a visual field examination should be performed in both eyes. The possibility of incipient NAION should be considered in patients with visual field abnormalities in the fellow eye.
Keywords : Incipient Nonarteritic anterior ischemic optic neuropathy, Nonarteritic anterior ischemic optic neuropathy, Visual field

 

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