Bilateral Posterior Ischemic Optic Neuropathy in a Patient with Severe Diabetic Ketoacidosis

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Bilateral Posterior Ischemic Optic Neuropathy in a Patient with Severe Diabetic Ketoacidosis

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Title: Bilateral Posterior Ischemic Optic Neuropathy in a Patient with Severe Diabetic Ketoacidosis
Author: Smolyar, Albert E.; Hamrah, Pedram

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Citation: Smolyar, Albert E., and Pedram Hamrah. 2011. Bilateral posterior ischemic optic neuropathy in a patient with severe diabetic ketoacidosis. Case Reports in Ophthalmology 2(1): 91-94.
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Abstract: Purpose: To report a case of bilateral posterior ischemic optic neuropathy (PION) in a patient with severe diabetic ketoacidosis (DKA). Design: Observational case report. Participant: A 35-year-old male who suffered bilateral visual loss during a severe episode of DKA. Methods: Neuro-ophthalmological examination, neuroimaging consisting of a CT scan and MRI of the brain and orbits, as well as a MRA of brain vessels. Results: Bilateral PION was diagnosed in a 35-year-old male with no light perception vision, who emerged from a coma caused by severe DKA. The patient developed optic nerve pallor in both eyes 4 weeks after the initial examination. Visual acuity with no light perception in both eyes remained unchanged after 6 months' follow-up. Conclusions: Severe DKA can be complicated by bilateral PION, resulting in total blindness.
Published Version: doi:10.1159/000325141
Other Sources: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072178/pdf/
Terms of Use: This article is made available under the terms and conditions applicable to Other Posted Material, as set forth at http://nrs.harvard.edu/urn-3:HUL.InstRepos:dash.current.terms-of-use#LAA
Citable link to this page: http://nrs.harvard.edu/urn-3:HUL.InstRepos:5083804

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