Management of ischemic optic neuropathies

Angelina Espino Barros, Alec L. Amram, Angeline Mariani Derham, Stacy V. Smith, Andrew G. Lee

Research output: Contribution to journalReview articlepeer-review

9 Scopus citations


Introduction: Ischemic optic neuropathy (ION) is the most common acute unilateral optic neuropathy in older patients. Areas covered: A complete review of the literature was performed for ischemic optic neuropathy, including nonarteritic anterior ION, arteritic anterior ION, and posterior ION. The most recent information concerning epidemiology, pathophysiology, and management was included in the review. In particular, the management of each form of ION is discussed, including in special patient populations such as post-surgical patients and hemodialysis patients. Expert commentary: Differentiating arteritic and nonarteritic forms of ION is crucial for appropriate patient management, as those with arteritis should be started on steroid therapy as soon as possible. Nonarteritic ION patients benefit from control of cerebrovascular risk factors, and may benefit systemically from low-dose aspirin therapy.

Original languageEnglish (US)
Pages (from-to)99-109
Number of pages11
JournalExpert Review of Ophthalmology
Issue number2
StatePublished - Mar 4 2017


  • Ischemic optic neuropathy
  • arteritic anterior ischemic optic neuropathy
  • giant cell arteritis
  • nonarteritic anterior ischemic optic neuropathy
  • optic atrophy
  • optic disc edema
  • pallid disc edema
  • posterior ischemic optic neuropathy

ASJC Scopus subject areas

  • Biomedical Engineering
  • Ophthalmology
  • Optometry


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