Posterior ischaemic optic neuropathy (PION): management

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Posterior ischaemic optic neuropathy (PION): management. C-reactive protein (CRP): this is raised in arteritic PION. Fully referenced neurology checklist.

Investigations

  • C-reactive protein (CRP): this is raised in arteritic PION
  • Magnetic resonance imaging (MRI): this shows enhancing posterior optic nerve lesions
  • Magnetic resonance angiography (MRA): this shows absent ophthalmic artery flow
  • Electroretinogram (ERG): this is normal
  • Fluorescein angiography: this is normal

Treatment: steroids

Locked: subscribe to see this section.

Treatment: others

Locked: subscribe to see this section.

References

  1. Kawabe K, Nagaoka T, Iguchi H, Ikeda K, Iwasaki Y. Optic nerve MRI enhancement in posterior ischaemic optic neuropathy due to internal carotid artery dissection. Clin Neurol Neurosurg 2010; 112:350-352.
  2. Sadda SR, Nee M, Miller NR, Biousse V, Newman NJ, Kouzis A. Clinical spectrum of posterior ischemic optic neuropathy. Am J Ophthalmol 2001; 132:743-750.
  3. Murphy MA. Bilateral posterior ischemic optic neuropathy after lumbar spine surgery. Ophthalmology 2003; 110:1454-1457.
  4. Hayreh SS. Posterior ischaemic optic neuropathy: clinical features, pathogenesis, and management. Eye (Lond) 2004; 18:1188-1206.
  5. Steigerwalt RD, Cesarone MR, Belcaro G, De Angelis M, Pascarella A, Nebbioso M. Non-arteritic Posterior ischaemic optic neuropathy treated with intravenous prostaglandin e1 and oral corticosteroids. Neuroophthalmology 2011; 35:81-84.
  6. And 1 more. Subscribe to see the full list

Related checklists

Loading...