Schockinduzierte anteriore isch?mische Optikusneuropathie bei Blutungsan?mie

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• 作者：Dr. S. Kazerounian ; W. Sekundo ; K. Droutsas
• 关键词：Visus ; Quadrantenanopsie ; An?mie ; H?morrhoidalblutung ; Schock ; Visual acuity ; Quadrantanopsia ; Anemia ; Hemorrhoids ; Shock
• 刊名：Der Ophthalmologe
• 出版年：2015
• 出版时间：April 2015
• 年：2015
• 卷：112
• 期：4
• 页码：368-372
• 全文大小：487 KB
• 参考文献：1.Bernstein SL, Johnson MA, Miller NR (2011) Nonarteritic anterior ischemic optic neuropathy (NAION) and its experimental models. Prog Retin Eye Res 30(3):167-62View Article PubMed Central PubMed
  2.Foroozan R, Buono LM, Savino PJ (2003) Optic disc structure and shock-induced anterior ischemic optic neuropathy. Ophthalmology 110(2):327-31View Article PubMed
  3.Foroozan R (2004) Shock-induced anterior ischaemic optic neuropathy after radical prostatectomy. Clin Experiment Ophthalmol 32(4):438-39View Article PubMed
  4.Suzuki D, Ilsen PF (2000) Hypovolemic ischemic optic neuropathy. Optometry 71(8):501-10PubMed
  5.Hollenhorst RW, Wagener HP (1950) Loss of vision after distant hemorrhage. Am J Med Sci 219:209-44View Article PubMed
  6.Connolly SE, Gordon KB, Horton JC (1994) Salvage of vision after hypotension-induced ischemic optic neuropathy. Am J Ophthalmol 117(2):235-42View Article PubMed
  
• 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.