Rinsho Ganka Volume 55, Issue 3 (March 2001)

Anterior ischemic optic neuropathy in a young patient of type 1 diabetes mellitus Toyoyuki Sai 1 , Masaaki Kamo 1 , Nobuhiko Ueda 1 , Akihiro Toyokawa 2 , Kunihiko Shiraki 3 1Dept of Ophthalmol, Osaka Kita Municipal Hosp 2Dept of Internal Med, Osaka Kita Municipal Hosp 3Dept of Ophthalmol, Osaka City Univ Med Sch pp.319-323
Published Date 2001/3/15
DOI https://doi.org/10.11477/mf.1410908977
  • Abstract
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A 31-year-old female presented with blurred vision and visual field defect in her right eye of recent onset. She had been diagnosed with typel diabetes mellitus (IDDM) 8 years before. Treatment with peroral antidiabetics had started 3years before. Insulin had started 2years before. Both eyes had received panretinal photocoagulation one year before. Her corrected visual acuity was 1.0 in either eye. Her right eye showed optic disc edema and paracentral scotoma in the inferior nasal sector, leading to the diagnosis of anterior ischemic optic neuropathy (AION). She was treated with systemic corticosteroid from the next day of onset to be continued in decreasing dosis for one month. She showed no visual impairment nor further deterioration in the visual field. This case illustrates that AION in young patient of IDDMmay respond favorably to strict control of blood sugar level and systemic corticosteroid.

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55巻3号 (2001年3月)
電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院