|
KMID : 1038920210200020084
|
|
Annals of Optometry and Contact Lens
2021 Volume.20 No. 2 p.84 ~ p.87
|
|
|
Nonarteritic Anterior Ischemic Optic Neuropathy Simultaneously Associated with Hashimoto’s Thyroiditis
|
|
Lee Song-Min
Lee Sae-Mi
Suh Sung-Hwan
Ryu Won-Yeol
|
|
|
Abstract
|
|
|
Purpose: To report one case of nonarteritic anterior ischemic optic neuropathy (NAION) simultaneously associated with Hashimoto’s thyroiditis.
Case summary: A-51-year-old man with no underlying disease and painless blurring of vision in his left eye that lasted for a week visited our office. His best-corrected visual acuity was 20/20 in the right eye and 20/1,000 in the left eye. Ophthalmological examination showed a relative afferent pupillary defect in the left eye. Fundoscopic examination revealed swelling of the left optic disc; however, orbital magnetic resonance imaging was normal. Visual field testing by automated perimetry showed a dense central scotoma defect in the left eye. The possibility of optic neuritis was considered; thus, intravenous methylprednisolone (1 g/day) was initiated for 3 consecutive days. Three days after therapy, his visual field showed an inferior altitudinal defect; thus, anterior ischemic optic neuropathy was diagnosed in the left eye. Before the therapy, the anti-thyroid peroxidase antibody level was high, and Hashimoto thyroiditis was detected by thyroid ultrasonography.
Conclusions: This is the first reported case of NAION associated with concurrent Hashimoto’s thyroiditis. Notably, the patient had none of the risk factors associated with NAION.
|
|
|
KEYWORD
|
|
|
Autoimmune diseases, Hashimoto’s thyroiditis, Nonarteritic anterior ischemic optic neuropathy, Optic disc swelling
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|