In most cases of NAION (Nonarteritic Anterior Ischemic Optic Neuropathy), a "second" attack, meaning a recurrence of the condition in the same eye, is rare. While vision worsens initially, it often stabilizes after two weeks. However, the visual field loss may become less noticeable over time, especially if the other eye is normal. [, , , , , , , ]
Here's a more detailed explanation: [, ]
Initial Vision Loss: In NAION, vision typically worsens progressively over about two weeks. [, ]
Progression and Stabilization: After the initial two-week period, the vision usually stabilizes, meaning it doesn't worsen further. [, ]
Recurrence: While a second attack in the same eye is not common, it's not impossible. [, , , , , , ]
Visual Field Loss: The area of visual field loss typically doesn't improve significantly over time. [, ]
Other Eye: If the other eye is normal, the visual field loss might become less noticeable over time, as the brain adapts, according to the North American Neuro-Ophthalmology Society. [, ]