Anterior ischemic optic neuropathy following the use of a nasal decongestant

Blindness following Cosmetic Injections of the Face

“…A single case of visual impairment subsequent to the use of nasal decongestant was also excluded. 44 All articles that described cases in which facial injection had no pure cosmetic aim, such as sclerotherapy of vascular lesions [45][46][47][48][49][50][51] and corticosteroid injections for the treatment of chalazia, 52,53 were excluded.…”

Malignant Optic Glioma Presenting as an Acute Anterior Optic Neuropathy

“…Enhancement of the optic nerve in MRI is uncommon in both arteritic and nonarteritic AION, and subtle when present. 8,9 Enhancement of the optic nerve on MRI in the presence of optic disk swelling should raise the possibility of a process other than ischemia. A complete comparison of the characteristics of AION, malignant optic glioma, and optic neuritis is found in Table 1.…”

Ischemic Optic Neuropathy

“…133 Medications Several medications have been implicated in the development of NAION, including sumatriptan, 134 sildenafil [phosphodiesterase type 5 (PDE-5) inhibitor], 135 amiodarone, 136 and nasal decongestants. 137 PDE-5 inhibitors have received significant recent attention for their possible relationship to NAION. Case reports have found visual loss occurring from 30 minutes to 36 hours after ingestion of the drug.…”