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Nonarteritic Anterior Ischemic Optic Neuropathy
Enigma Variations
Arch Ophthalmol. 1999;117:386-388.
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I believe that to solve any problem that has never been solved before, you have to leave the door to the unknown ajar. You have to permit the possibility that you do not have it exactly right. Otherwise, if you have made up your mind already, you might not solve it.—Richard P. Feynman1
This is why I value that little phrase ‘I don't know' so highly. It's small, but flies on mighty wings.—Wis awa Szymborska, 1996 Nobel Lecture2
VISUAL SIGNALS enter the brain through the narrowest of portals—the optic nerve head—where minuscule lesions can bar their transmission. Such is the case with nonarteritic anterior ischemic optic neuropathy (NAION), the foremost nonglaucomatous optic neuropathy of the middle-aged and elderly.
My career as a neuro-ophthalmologist began just as Miller and Smith3 published their valuable article, the first in the English language describing NAION. Now, more than 30 years later, important aspects of . . . [Full Text of this Article]
Simmons Lessell, MD
Boston, Mass
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