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Generation two is emerging contaminants like PFAS

Evaluation often includes: Comprehensive ophthalmologic exam with optic disc assessment Visual field testing Optical coherence tomography (OCT) to assess optic nerve head and retinal nerve fiber layer Blood pressure assessment and cardiovascular risk review Laboratory testing if giant cell arteritis is suspected (commonly ESR, CRP, platelet count), and possible temporal artery evaluation based on clinical presentation Treatment options for NAION are limited, and practice varies

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