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Anterior ischemic optic neuropathy (AION) is an eye disease characterized by infarction of the optic disk leading to vision loss. It can be nonarteritic (nonarteritic anterior ischemic optic neuropathy or NAION) or arteritic, the latter being associated with giant cell arteritis (GCA; often termed temporal arteritis). Vision loss with both varieties is typically rapid (over minutes, hours, or days) and painless. Symptoms such as a general feeling of being unwell (malaise), muscle aches and pains, headaches over the temple, pain when combing hair, pain in the jaw after chewing, and tenderness over the temporal artery (one of the major arteries of the head) may be present with giant cell arteritis. At exam, visual acuity is reduced and the optic disk is swollen. In both subtypes, visual field examination is often reduced in the inferior and central visual fields. The visual loss is usually permanent, with some recovery possibly occurring within the first weeks or months. The arteritic variety is treated with corticosteroids. Treatment of the nonarteritic variety withaspirinor corticosteroids has not been helpful.
Biomarker and diagnostic research for anterior ischemic optic neuropathy has been reported in the published literature.
No approved treatments are currently available for anterior ischemic optic neuropathy. An additional 4 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for anterior ischemic optic neuropathy, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for anterior ischemic optic neuropathy. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor |
|---|
10 clinical trials registered, 8 recruiting. Interventions under study include other interventions, drug therapy, medical devices, and gene therapy. Pipeline includes 1 PHASE4, 1 PHASE3, 2 PHASE1. Research is sponsored by a mix of industry and academic institutions.
NCT ID | Title | Phase | Sponsor | Status |
|---|---|---|---|---|
[NCT03475173](https://clinicaltrials.gov/study/NCT03475173) |
Data assembled from 4 of 12 sources · Last updated Sep 19, 2026, 6:45 AM UTC
Genetic and Rare Diseases Info Center
Designated
Exclusivity End |
|---|
Designation Status |
|---|
19 amino acid synthetic peptide NOS-enhancer | 19 amino acid synthetic peptide NOS-enhancer | Biozeus Biopharmaceutical SA | 2021 | — | Designated |
NP-CSIC002 | NP-CSIC002 | Neurizon Pharma | 2017 | — | Designated |
synthetic double-stranded siRNA oligonucleotide directed against p53 mRNA | synthetic double-stranded siRNA oligonucleotide directed against p53 mRNA | Quark Pharmaceuticals, Inc. | 2012 | — | Designated |
Brimonidine | Brimonidine | AbbVie | 2000 | — | Designated |
Gene therapy approaches for anterior ischemic optic neuropathy have been reported in the published literature.
10 trials found
New Non-invasive Modalities for Assessing Retinal Structure and Function |
NA |
Randy Kardon |
RECRUITING |
[NCT07453888](https://clinicaltrials.gov/study/NCT07453888) | Efficacy and Safety of Intranasal Cenegermin in Adult Participants With Non-Arteritic Anterior Ischemic Optic Neuropathy (NAION) | PHASE3 | Dompé Farmaceutici S.p.A | RECRUITING |
[NCT03011541](https://clinicaltrials.gov/study/NCT03011541) | Stem Cell Ophthalmology Treatment Study II | NA | MD Stem Cells | RECRUITING |
[NCT06748703](https://clinicaltrials.gov/study/NCT06748703) | Optic Nerve Injury in Obstructive Sleep Apnea Patients | NA | Nanjing Medical University | RECRUITING |
[NCT05749094](https://clinicaltrials.gov/study/NCT05749094) | Optic Nerve Sheath Ultrasound in Giant Cell Arteritis | — | Centre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de Montreal | RECRUITING |
151 publications have been identified in PubMed for anterior ischemic optic neuropathy. Research spans Epidemiology / Natural History (30%), Review / Meta-Analysis (29%), and Other (11%).
Research Type | Count | % of Total |
|---|---|---|
Disease patterns and progression | 45 | 30% |
Research summaries | 43 | 29% |
Other research | 16 | 11% |
Patient case studies | 15 | 10% |
Testing and diagnosis research | 14 | 9% |
Laboratory research | 7 | 5% |
Clinical study results | 6 | 4% |
New treatment approaches | 2 | 1% |
Danesh-Meyer HV (2026). [PMID: 42020100](https://pubmed.ncbi.nlm.nih.gov/42020100/). *Clin Exp Ophthalmol*. [Review / Meta-Analysis]
Chen KY (2026). [PMID: 40962119](https://pubmed.ncbi.nlm.nih.gov/40962119/). *Asia Pac J Ophthalmol (Phila)*. [Review / Meta-Analysis]
Xie JS (2026). [PMID: 42135524](https://pubmed.ncbi.nlm.nih.gov/42135524/). *Eye (Lond)*. [Epidemiology / Natural History]
Ababneh OH (2026). [PMID: 41922029](https://pubmed.ncbi.nlm.nih.gov/41922029/). *Neurol Clin*. [Review / Meta-Analysis]
Glynn T (2026). [PMID: 41772926](https://pubmed.ncbi.nlm.nih.gov/41772926/). *Med J Aust*. [Case Report / Case Series]
Eisa N (2026). [PMID: 41938304](https://pubmed.ncbi.nlm.nih.gov/41938304/). *AACE Endocrinol Diabetes*. [Review / Meta-Analysis]
He Q (2026). [PMID: 42152206](https://pubmed.ncbi.nlm.nih.gov/42152206/). *J Coll Physicians Surg Pak*. [Review / Meta-Analysis]
Vilsbøll T (2026). [PMID: 42049287](https://pubmed.ncbi.nlm.nih.gov/42049287/). *Br J Ophthalmol*. [Clinical Trial Publication]
Liu Z (2026). [PMID: 41475544](https://pubmed.ncbi.nlm.nih.gov/41475544/). *Ophthalmology*. [Review / Meta-Analysis]
Özdemir A (2026). [PMID: 41916525](https://pubmed.ncbi.nlm.nih.gov/41916525/). *Clin Exp Optom*. [Basic Science / Preclinical]
AI-curated news mentioning anterior ischemic optic neuropathy
Updated May 17, 2026
A recent study highlights a case of Wernicke encephalopathy characterized by severe optic neuropathy and oculomotor dysfunction. This research adds to the understanding of the neurological manifestations associated with this condition.
A study published in PubMed highlights the use of orbital MRI as a diagnostic tool for giant cell arteritis in patients with anterior ischaemic optic neuropathy. This research could enhance diagnostic accuracy and improve patient outcomes.