Neuro-Ophthalmology: Ischemic Optic Neuropathies

Question 0

younger patients, often bilateral

Answer 0

familial AION characteristics

Question 1

most common cause of unilateral disc swelling in adults over age 50, most common optic neuropathy in adults over age 50

Answer 1

superlative of AION

Question 2

false

Answer 2

TRUE or FALSE: NAION patients have a higher incidence of ipsilateral carotid occlusive disease than the general population

Question 3

10%

Answer 3

incidence of pain in AION

Question 4

inferior altitudinal

Answer 4

most common field defect in NAION

Question 5

gadolinium enhancement

Answer 5

worrisome MRI finding in NAION (if an MRI is ordered)

Question 6

43%

Answer 6

percentage of patients in the IONDT with spontaneous improvement by three lines or more

Question 7

premonitory disc swelling

Answer 7

like in LHON, a minority of NAION patients may demonstrate this peculiar finding

Question 8

50%

Answer 8

perioperative (cataract) NAION is associated with this risk of contralateral eye involvement when surgery is performed

Question 9

false

Answer 9

TRUE or FALSE: prothrombotic states have been associated with NAION

Question 10

contralateral PRP

Answer 10

option that might be offered to a patient with unilateral NAION

Question 11

10 days

Answer 11

progression beyond this time period is worrisome in NAION

Question 12

70

Answer 12

most patients with AAION are over this age

Question 13

1/1000

Answer 13

prevalence of AAION in patients over 80

Question 14

vertebral, posterior cerebral

Answer 14

posterior circulation arteries affected by GCA

Question 15

MI, aortic dissection

Answer 15

rare intrathoracic complications of GCA

Question 16

simultaneous presentation in a husband and wife, VZV DNA in arteries

Answer 16

evidence for infectious etiology in GCA

Question 17

false

Answer 17

TRUE or FALSE: vision loss in GCA is usually painful

Question 18

low

Answer 18

typical IOP in GCA

Question 19

AAION

Answer 19

this ischemic optic neuropathy commonly results in late cupping

Question 20

AAION

Answer 20

patients with this ischemic optic neuropathy usually appear ill

Question 21

ESR

Answer 21

in “occult GCA” this is almost always abnormal

Question 22

> 90

Answer 22

typical ESR in GCA

Question 23

CRP

Answer 23

which is more sensitive in GCA, ESR or CRP?

Question 24

retard progression, reduce fellow eye involvement, may improve vision

Answer 24

effect of IV steroids in GCA

Question 25

lie flat for 24 hours

Answer 25

nursing order in GCA

Question 26

systemic symptoms, CRP

Answer 26

two important markers to follow in patients being tapered in GCA

Question 27

secondary until proven otherwise

Answer 27

rule of thumb in evaluating PION

Question 28

GCA

Answer 28

must be ruled out in elderly with PION

Question 29

perioperative ION

Answer 29

other ION with pallid edema

Question 30

perioperative ION

Answer 30

this ischemic optic neuropathy commonly presents hours to days after the inciting event

Question 31

enlarged blind spot

Answer 31

most common field change in diabetic papillopathy

Question 32

improvement over weeks to months

Answer 32

typical course in diabetic papillopathy

Question 33

intravitreal or periocular steroids

Answer 33

treatment options for diabetic papillopathy