Could Buerger’s disease cause nonarteritic anterior ischemic optic neuropathy?: a rare case report

  • Anil Korkmaz
  • Omer Karti
  • Dilek Top Karti
  • Bora Yüksel
  • Mehmet Ozgur Zengin
  • Tuncay Kusbeci
Quiz Cases

Abstract

We present an interesting case with nonarteritic anterior ischemic optic neuropathy (NAION) accompanied by Buerger’s disease. A 43-year-old man was referred to our neuro-ophthalmology clinic with a complaint of visual deterioration in the left eye that started 5 days ago. He suffered from Buerger’s disease, and he had acute pain in the right lower limb below the knee. His best corrected visual acuity was 10/10 in the right eye and 2/10 in the left eye by Snellen chart. There was a relative afferent pupil defect in the left eye. The right optic disc was normal on fundus examination, and blurring, hemorrhagic swelling was found at the left optic disc. Inferior altitudinal visual field defect was observed in the left eye. Neurological examination was normal. Computed tomography angiography scan revealed occlusion in the right posterior tibial artery. Brain imaging and laboratory tests such as blood analyses, genetic screening, coagulation, and lipid panels were unremarkable. NAION may occur in patients with Buerger’s disease, but it is extremely rare. Therefore, clinicians should be aware of this rare association.

Keywords

Buerger’s disease Anterior ischemic optic neuropathy 

Notes

Compliance with ethical standards

Conflict of interests

The authors declare that they have no conflict of interest.

Patient consent

Patient consented in writing to publication of the case.

Authorship

All authors contributed significantly to the creation of this manuscript, each fulfilled criteria as established by the ICMJE.

References

  1. 1.
    Kerr NM, Chew SS, Danesh-Meyer HV (2009) Nonarteritic anterior ischaemic optic neuropathy: a review and update. J Clin Neurosci 16:994–1000CrossRefPubMedGoogle Scholar
  2. 2.
    Arnold AC (2003) Pathogenesis of nonarteritic anterior ischemic optic neuropathy. J Neuroophthalmol 23:157–163CrossRefPubMedGoogle Scholar
  3. 3.
    Buerger L (1908) Thromboangiitis obliterans: a study of the vascular lesions leading to presenile gangrene. Am J Med Sci 136:567–580CrossRefGoogle Scholar
  4. 4.
    Mills JL, Taylor LM, Porter JM (1987) Buerger’s disease in the modern era. Am J Surg 154:123–129CrossRefPubMedGoogle Scholar
  5. 5.
    Coppeto JR, Adamczyk D (1988) Anterior ischemic optic neuropathy in Buerger’s disease. Ann Ophthalmol 20:332–334PubMedGoogle Scholar
  6. 6.
    Bernardczykowa A, Zawilski J (1991) Fundus oculi changes in chronic ischemia of the lower extremities. Klin Ocz 93:291–292Google Scholar
  7. 7.
    Homma S, Tsushima N, Minamiyama M, Hayashi T, Matsuo H (2000) Microvascular blood is distributed more to venules than to arterioles in patients with Buerger’s disease. Observation of bulbar conjunctiva by intravital microscope system. Int Angiol 19:135–141PubMedGoogle Scholar
  8. 8.
    Eris E, Sucu ME, Perente I, Alkın Z, Ozkaya A, Tarakcioglu HN (2017) Retinal artery occlusion secondary to Buerger’s disease. Case Rep Ophthalmol Med 2017:3637207PubMedPubMedCentralGoogle Scholar
  9. 9.
    Hayreh SS (2009) Management of non-arteritic anterior ischemic optic neuropathy. Graefes Arch Clin Exp Ophthalmol 247:1595–1600CrossRefPubMedGoogle Scholar
  10. 10.
    Hattenhauer MG, Leavitt JA, Hodge DO, Grill R, Gray DT (1997) Incidence of nonarteritic anterior ischemic optic neuropathy. Am J Ophthalmol 123:103–107CrossRefPubMedGoogle Scholar
  11. 11.
    Hayreh SS, Zimmerman B (2005) Visual field abnormalities in nonarteritic anterior ischemic optic neuropathy: their pattern and prevalence at initial examination. Arch Ophthalmol 123:1554–1562CrossRefPubMedGoogle Scholar
  12. 12.
    Hayreh SS, Zimmerman MB (2008) Non-arteritic anterior ischemic optic neuropathy: role of systemic corticosteroid therapy. Graefes Arch Clin Exp Ophthalmol 246:1029–1046CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Mathews MK (2005) Nonarteritic anterior ischemic optic neuropathy. Curr Opin Ophthalmol 16:341–345CrossRefPubMedGoogle Scholar
  14. 14.
    Lazarides MK, Georgiadis GS, Papas TT, Nikolopoulos ES (2006) Diagnostic criteria and treatment of Buerger’s disease: a review. Int J Low Extrem Wounds 5:89–95CrossRefPubMedGoogle Scholar
  15. 15.
    Vijayakumar A, Tiwari R, Kumar Prabhuswamy V (2013) Thromboangiitis obliterans (Buerger's disease)—current practices. Int J Inflam 2013:156905CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Liu Y, Shakur Y, Yoshitake M, Ji K (2001) Cilostazol (pletal): a dual inhibitor of cyclic nucleotide phosphodiesterase type 3 and adenosine uptake. Cardiovasc Drug Rev 19:369–386CrossRefPubMedGoogle Scholar
  17. 17.
    Pomeranz HD (2017) Erectile dysfunction agents and nonarteritic anterior ischemic optic neuropathy. Neurol Clin 35:17–27CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Bozyaka Training and Research Hospital, Department of OphthalmologyİzmirTurkey
  2. 2.Bozyaka Training and Research Hospital, Department of NeurologyİzmirTurkey

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