May 14, 2009
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Ischemic optic neuropathy requires multidisciplinary approach, hospitalization

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PARIS — The approach to arteritic anterior ischemic optic neuropathy and other forms of ischemia of the optic nerve head necessitates an urgent, complete investigation of possible causes and a multidisciplinary approach.

Hospitalization is the best option because it is the only way patients can be guaranteed a thorough investigation, according to one specialist here.

"Ischemic optic neuropathy has a number of potential causes, which go beyond the competence and responsibility of ophthalmologists," Audrey Feldman, MD, said at the meeting of the French Society of Ophthalmology.

At the Hôpital Edouard Herriot of Lyon, France, 65 patients with central retinal artery occlusion, branch retinal artery occlusion or arteritic anterior ischemic optic neuropathy were hospitalized for between 2 and 22 days.

Due to the urgent performance of a large series of diagnostic tests and to the cooperation between specialists, these patients were able to have a precise diagnosis and to be transferred, when necessary, to the appropriate specialist, where they received appropriate treatment in the shortest possible time.