THE BELGIAN OPHTHALMIC ASSOCIATIONS
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This abstract is assigned to session NOC: Neuro Ophthalmology Club
| Title | Ischemic Optic Neuropathies |
| Purpose | Dr C. ANDRIS How do you differentiate A-AION from Non-Arteritic ? Is a fluo-angiography mandatory ? Unilateral or bilateral temporal artery biopsy ? Is there a place for temporal artery ultrasound ? Whith treatment for GCA ? How do you evaluate NA-AION ? Is there a treatment ? What to do with carotid stenosis and cardiac disesases ? Which hypercoagulable work-up to ask ? All these questions will be debated. |
| Methods | Dr M. SPRYNGER There are two varieties of ischemic optic neuropathy, NA and arteritic. Even though diagnosis is mainly based on a clinical evaluation, ancillary exams may be needed urgently. In case of temporal arteritis, corticotherapy must be started quickly in order to preserve the other eye. Transient or permanent ischemia can also be due to cardiac or arterial emboli requiring undelayed treatment. Secondary prevention is a main issue too. What kind of information can cardiovascular ultrasounds give to the ophthalmologist ? Is it worth doing carotid or temporal ultrasounds, transthoracic or transesophageal echocardiography? What is the reliability of these techniques and what are the up-to-date recommendations for medical treatment, surgery or endovascular procedures ? This "question-answer session" will try to confront the ophthalmologist's, the cardiologist's and the angiologist's points of view. |
Author 1
| Last name | ANDRIS |
| Initials | C |
| City | Liège |
Author 2
| Last name | SPRYNGER |
| Initials | M |