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

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

dc.contributor.author	Smolyar, Albert E.
dc.contributor.author	Hamrah, Pedram
dc.date.accessioned	2011-07-27T20:27:36Z
dc.date.issued	2011
dc.identifier.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.	en_US
dc.identifier.issn	1663-2699	en_US
dc.identifier.uri	http://nrs.harvard.edu/urn-3:HUL.InstRepos:5083804
dc.description.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.	en_US
dc.language.iso	en_US	en_US
dc.publisher	S. Karger AG	en_US
dc.relation.isversionof	doi:10.1159/000325141	en_US
dc.relation.hasversion	http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3072178/pdf/	en_US
dash.license	LAA
dc.title	Bilateral Posterior Ischemic Optic Neuropathy in a Patient with Severe Diabetic Ketoacidosis	en_US
dc.type	Journal Article	en_US
dc.description.version	Version of Record	en_US
dc.relation.journal	Case Reports in Ophthalmology	en_US
dash.depositing.author	Hamrah, Pedram
dc.date.available	2011-07-27T20:27:36Z
dash.affiliation.other	100169	en_US