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Visual loss despite anticoagulation in radiation‐induced optic neuropathy

Radiation therapy to the brain may produce necrosis and loss of function months after completion of the treatment. The case is presented of a 62‐year‐old man who developed radiation‐induced optic neuropathy 2 years after treatment for a glioma of the left temporal lobe, despite being on anticoagulation therapy. Although anticoagulation appears to be beneficial in cerebral radiation necrosis, its usefulness in the treatment of radiation‐induced optic neuropathy is unclear.