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SThe manual review of records for this study revealed that 40% of cases coded as ischemic optic neuropathy were not actually NAION but rather arteritic ischemic optic neuropathy from giant cell arteritis (which is commonly managed by neuro-ophthalmologists) or other forms of ischemic or nonischemic optic neuropathies.Manual review is not practical for extremely large databases, and the lack of a specific ICD-10 code for NAION (as identified by Hamedani et al31) would be a severe hindrance for any large study

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