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PURPOSE: To retrospectively evaluate in patients with non-arteritic ischemic optic neuropathy (NAION) whether aspirin reduces the frequency of second eye involvement. METHODS: In 52 patients who presented with NAION between 1984 and 1997 adequate information was available regarding use of aspirin, presence of risk factors and second eye involvement. RESULTS: Second eye involvement was noted in eight of 16 patients (50%) who did not receive aspirin, in three of eight patients (38%) who received 100 mg/day aspirin and in only five of 28 patients (18%) who received aspirin 325 mg/day. Moreover, mean time to second eye involvement was 63 months in patients who did not receive aspirin versus 156 months in patients who received aspirin 325 mg/day. CONCLUSION: These results strongly suggest that aspirin at 325 mg/day may be effective in reducing the frequency of second eye involvement with NAION.
Dr. O. Salomon, Department of Hematology, Sheba Medical Center, Tel Hashomer, Israel
10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy