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Optic Neuropathies Overview

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Created December 14, 2025

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Non-Arteritic AION (NAION): Caused by occlusion of the posterior ciliary arteries,

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often in patients over 50 with a structurally crowded optic disc ("disc at risk") and

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cardiovascular risk factors like hypertension or diabetes. o Features: Sudden, painless,

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monocular vision loss, often noticed upon waking. The disc appears

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swollen and hyperemic, frequently with splinter hemorrhages. The classic visual

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field defect is an inferior altitudinal defect. There is no definitive treatment.

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• Arteritic AION (AAION): This is an ocular emergency caused by Giant Cell Arteritis

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(GCA), an inflammation of medium and large arteries. o GCA Symptoms:

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