Anterior ischemic optic neuropathy in patients treated with semaglutide: report of four cases with a possible association

Mar 15, 2025BMC ophthalmology

Sudden vision nerve damage possibly linked to semaglutide treatment: report of four cases

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Abstract

Four male patients developed (NAION) during treatment with semaglutide, with three cases having treatment durations of less than one year.

  • All patients exhibited significant optic disc swelling and fluid in the retina as seen on imaging.
  • Three patients had small openings in Bruch's membrane, measuring less than 1.4 mm.
  • One patient showed optic disc drusen, a condition often linked with visual impairment.
  • Visual field defects were related to loss of ganglion cells, indicating potential damage to the optic nerve.
  • Systemic risk factors varied among patients; two were only obese.

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Key numbers

3 of 4
Diameter < 1.4 mm
measurements in affected patients
18 kg
Weight Loss
Weight loss achieved by Case 1 after 11 months on semaglutide

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