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作者单位:Dr. S. Kazerounian (1) W. Sekundo (1) K. Droutsas (1)
1. Universit?tsaugenklinik für Augenheilkunde, Philipps-Universit?t Marburg, Baldingerstr., 35043, Marburg, Deutschland
刊物类别:Medicine
刊物主题:Medicine & Public Health Ophthalmology
出版者:Springer Berlin / Heidelberg
ISSN:1433-0423
文摘
A 51-year-old diabetic and overweight male presented to our eye clinic with right-sided impairment of visual acuity and scotoma. A thorough work-up had been carried out at our institute 9 months prior to this event due to left-sided nonarteriitic anterior ischemic optic neuropathy (NAION). Despite the similarity of visual symptoms in the currently and previously affected eyes microcystic anemia (Hb 81?g/dl) associated with severe hemorrhoidal bleeding was diagnosed. The patient underwent surgical hemorrhoidectomy and received two red blood cell concentrates. Therefore, this article reports on an extraordinarily rare case of shock-induced anterior ischemic optic neuropathy (SIAION) caused by hemorrhoidal bleeding.