Photopsia and a temporal visual field defect

作者：Marsiglia Marcela; Odel Jeffery G; Rudich Danielle S; Tsang Stephen H; Plant Gordon T^*

来源：Survey of Ophthalmology, 2016, 61(3): 363-367.

DOI：10.1016/j.survophthal.2015.11.003

• photopsia
• nerve fiber layer
• swept-source OCT
• visual field
• visual field defect
• temporal visual field defect
• flu-like symptoms
• hypoplasia of the optic nerve
• nasal hypoplasia of the optic nerve

A 30-year-old woman presented with intermittent photopsia, a temporal visual field defect below the horizontal in her left eye, and flu-like symptoms. Slit-lamp and fundus examinations were unremarkable. Humphrey 30-2 threshold perimetry and 120-point screening visual field demonstrated blind spot enlargement of the left eye and a normal field in the right eye. Fundus autofluorescence, optical coherence tomography of the macula, full-field electroretinogram, electrooculogram, and multifocal electroretinogram were. normal. Swept-source optical coherence tomography scan of the left optic nerve showed an intact outer retina, a remarkably thinned nerve fiber layer nasally, and peripapillary vitreous traction. Goldmann kinetic perimetry revealed a sector-shaped dense defect breaking out from the blind spot to the temporal periphery just below the horizontal in the left eye. The patient had nasal hypoplasia of the optic nerve and peripapillary vitreous traction.

• 出版日期2016-6