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Related Experiment Video

Updated: May 21, 2026

Optic Nerve Sheath Point of Care Ultrasound: Image Acquisition

Optic Nerve Sheath Point of Care Ultrasound: Image Acquisition

Published on: August 18, 2023

Optic disc oedema: a diagnostic dilemma.

Prakash Chand Agarwal¹, Saroj Gupta, Arunendu Thakur

¹Ophthalmology Department, People's College of Medical Sciences, Bhopal, Madhya Pradesh, India.

BMJ Case Reports

|June 9, 2012

Summary

This case study highlights anterior ischemic optic atrophy (AION), a condition causing sudden vision loss. Prompt diagnosis and management of underlying conditions like hypertension and diabetes are crucial for vision recovery.

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Area of Science:

Ophthalmology
Neurology

Background:

Bilateral disc oedema and unilateral visual loss can indicate serious underlying conditions.
Intracranial pathologies are primary considerations in patients presenting with optic disc swelling and visual deficits.

Observation:

A patient presented with bilateral disc oedema and left eye visual loss, with normal CT and cerebrospinal fluid findings.
Despite initial investigations for intracranial lesions, a definitive diagnosis was not established, and the patient developed left optic atrophy.
The patient later experienced similar visual loss in the right eye, leading to a diagnosis of anterior ischemic optic atrophy (AION).

Findings:

The diagnosis of AION was supported by inferior altitudinal visual field loss and delayed visual evoked response.
The patient had a history of hypertension and type 2 diabetes, which were managed.
The clinical presentation and investigations confirmed sequential AION in the left eye followed by the right eye.

Implications:

This case underscores the importance of considering AION in patients with unexplained visual loss and disc oedema.
Effective management of vascular risk factors such as hypertension and diabetes is critical in preventing and treating AION.
Timely diagnosis and treatment can lead to vision recovery, as demonstrated in this patient's case.