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Not so Typical NAION

  • Writer: Dr. Obada Subei, MD.
    Dr. Obada Subei, MD.
  • Apr 2, 2023
  • 1 min read

Case of the week:

A healthy female in her 50s presents with painless vision loss in the left eye. She had an altitudinal visual field defect in the left eye and optic nerve swelling with a peripapillary hemorrhage.

Initial Diagnosis prior to referral to Neuro-Ophthalmology: NAION


Actual Dx: 2 cm massive ICA supraclinoid aneurysm compressing the left optic nerve.

The patient was sent to the hospital and had an emergent aneurysm coiling avoiding a catastrophic outcome.


 
 
 

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