Supplementary Material for: Preservation of vision after early recognition of anterior ischemic optic neuropathy in a patient with sepsis

Non-arteritic ischemic optic neuropathy (NAION) can rarely occur in the setting of sudden vascular compromise, especially in patients with a “disk-at-risk” appearance. Anemia and hypotension are believed to be the main precipitators of shock induced NAION. Early recognition of this phenomena can prevent further visual loss and result in partial visual recovery. We here present a 56-year-old patient who developed NAION characterized by optic disc edema in both eyes and visual loss in the left eye secondary to hypotension in the setting of septic shock. He received aggressive blood pressure management which resulted in stabilization of vision in the right eye and likely prevented further visual loss in the left eye.

非动脉炎性缺血性视神经病变（Non-arteritic ischemic optic neuropathy, NAION）极少可在突发血管灌注不足的情境下发生，尤其多见于存在"高危视盘（disk-at-risk）"表现的患者。贫血与低血压被认为是休克诱发该病变的主要诱因。早期识别该病症可阻止视力进一步丧失，并实现部分视力恢复。本文报告1例56岁患者，其因感染性休克情境下的低血压继发出现非动脉炎性缺血性视神经病变，表现为双眼视盘水肿及左眼视力丧失。该患者接受了积极的血压管理，最终右眼视力得以稳定，且大概率阻止了左眼视力的进一步恶化。