Visual outcome following bilateral non-arteritic anterior ischemic optic neuropathy: a systematic review and meta-analysis

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dc.contributor.authorKeren, Shay
dc.contributor.authorZanolli, Mario
dc.contributor.authorDotan, Gad
dc.date.accessioned2018-01-10T13:15:35Z
dc.date.available2018-01-10T13:15:35Z
dc.date.issued2017
dc.description.abstractBackground: Many patients who suffer unilateral non-arteritic anterior ischemic optic neuropathy (NAION) will eventually develop the same condition in their other eye, worrying them about losing vision in both eyes. The purpose of this meta-analysis is to determine whether it is possible to predict the visual outcome of the consecutive NAION event based on initial presentation and to compare mean visual loss of firstly versus secondly affected eyes. Methods: A systematic review and meta-analysis of studies published between January 1st 1966 and May 31st 2016 reporting on visual acuity and/or visual field loss of both affected eyes, measured either at presentation or follow-up following bilateral NAION. Results: Ten studies were included in the meta- analysis of visual acuity, including 9 retrospective reports and one randomized clinical trial, and five retrospective studies were included in visual field meta-analysis. A significant correlation exists for visual acuity (R = 0.387, P < 0.001) in both eyes of the same patient following bilateral NAION, and also for visual field loss (R = 0.445, P < 0.001) in the two eyes. The calculated coefficient of determination (R2 ) of 0.149 for visual acuity, and 0.198 for visual field loss indicates that for any given individual suffering from unilateral NAION only 15% of visual acuity and 20% of visual field loss in the secondly affected eye can be explained by these outcomes in the first eye. In addition, there was no difference in mean visual outcome of the first versus second NAION events (standardized mean differences of visual acuity 0.008, P = 0.890; and visual field loss, −0.019, P = 0.819). Conclusion: Even though a weak connection exists between visual outcome in both eyes following bilateral NAION it is still impossible to predict with certainty the visual outcome of a sequential contralateral NAION event based on the severity of visual loss in the first affected eye. Measures often taken after the first event are ineffective in improving the visual outcome of a second event should it occur.
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dc.identifier.citationKeren S, Zanolli M, Dotan G. Visual outcome following bilateral non-arteritic anterior ischemic optic neuropathy: a systematic review and meta-analysis. BMC Ophthalmol. 2017 Aug 24;17(1):155
dc.identifier.urihttp://hdl.handle.net/11447/1875
dc.identifier.urihttp://dx.doi.org/10.1186/s12886-017-0543-y
dc.language.isoen_US
dc.publisherBioMed Central
dc.subjectNon-Arteritic anterior ischemic optic neuropathy (NAION)
dc.subjectMeta-analysis
dc.titleVisual outcome following bilateral non-arteritic anterior ischemic optic neuropathy: a systematic review and meta-analysis
dc.typeArtículo

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