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Ischemic Optic Neuropathy:Still the Ophthalmologist's Dilemma

Authors
Journal
Ophthalmology
0161-6420
Publisher
Elsevier
Volume
91
Issue
11
Identifiers
DOI: 10.1016/s0161-6420(84)34145-8
Keywords
  • Carotid Artery
  • Corticosteroids
  • Cranial Arteritis
  • Disc Edema
  • Giant Cell Arteritis
  • Ischemic Optic Neuropathy
  • Optic Neuritis
  • Temporal Arteritis
Disciplines
  • Medicine

Abstract

Abstract Ischemic optic neuropathy, in its arteritic and idiopathic varieties, presents both diagnostic and therapeutic challenges to the clinician, specificially: the role of temporal artery biopsy in management of giant cell arteritis; the preferred treatment regimen for giant cell arteritis, including decisions to begin tapering therapy and stopping therapy; action to take if major steroid complications arise while the disease is still active; distinguishing anterior ischemic optic neuropathy from idiopathic optic neuritis; whether cerebral arteriography is indicated in the assessment of idiopathic ischemic optic neuropathy; and whether steroid therapy is of any value in the treatment of idiopathic ischemic optic neuropathy.

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