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Most patients had underlying anatomic or vascular risk factors for developing NAION, including low cup to disc ratio ("crowded disc")

Micronutrient supplementation: Concurrent vitamin/mineral deficiency correction thiamine IV (before glucose in suspected Wernickes), B12 IM (J3420), vitamin D oral/IV, vitamin K IV (J3430), zinc supplementation (E60)

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Chest x-ray indicated: The left lung was compressed, there was a huge gastric bubble shadow in the left thoracic cavity, and the mediastinum was mildly shifted to the right (Figure 1A)