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An uncommon cause of vision loss

Leber hereditary optic neuropathy

Glover, Julie M., DSc, PA-C; Casmaer, Monica L., DSc, PA-C; April, Michael D., MD, DPhil, MSc

Journal of the American Academy of PAs: November 2018 - Volume 31 - Issue 11 - p 32–34
doi: 10.1097/01.JAA.0000546478.56818.50
Case Report

ABSTRACT Leber hereditary optic neuropathy (LHON) is a rare mitochondrial genetic disorder characterized by painless acute or subacute vision loss that develops during adolescence. Clinicians should know how to identify potential LHON and when to refer patients to a neuro-ophthalmologist for diagnosis and treatment. This case highlights the value of a thorough family history in ED patients.

Julie M. Glover practices emergency medicine at Wright Patterson Medical Center at Wright Patterson Air Force Base in Dayton, Ohio, and is an adjunct professor in the PA program at Kettering (Ohio) College. Monica L. Casmaer is program director at Brooke Army Medical Center in San Antonio, Tex., and a faculty member of the US Army/Baylor University doctor of science emergency medicine physician assistant program in Dallas, Tex. Michael D. April is assistant program director for research in the emergency medicine residency at the San Antonio Uniformed Services Health Education Consortium. The views expressed in this article are those of the authors and do not reflect the official policy or position of Brooke Army Medical Center, the US Army Medical Department, the US Army Office of the Surgeon General, the Department of the Army, the Department of the Air Force and Department of Defense or the US government. The authors have disclosed no potential conflicts of interest, financial or otherwise.

Copyright © 2018 American Academy of Physician Assistants
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