J Korean Ophthalmol Soc.
2002 Nov;43(11):2175-2178.
Seven cases of normal-tension glaucoma with temporal visual field defect only
- Affiliations
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- 1Department of Ophthalmology, Seoul National University college of Medicine, Korea. dmkim@snu.ac.kr
- 2Seoul Artificial Eye Center, Seoul National University Hospital Clinical Research Institute, Korea.
Abstract
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PURPOSE: To investigate the clinical features of 7 cases (8 eyes) of normal-tension glaucoma with the temporal visual defect only.
METHODS
Patient's age, gender, systemic disease, refractive error, intraocular pressure, stereo disc photograph, nerve fiber layer photograph and visual field were analyzed.
RESULTS
Age was 32+/-5 years, male:female ratio was 2:5 and 6 eyes were unilateral. Refractive error was -8.80+/-3.80 D, intraocular pressure was 16.0+/-1.90 mmHg and cup:disc ratio was 0.66+/-0.09 (horizontal) X 0.58+/-0.10 (vertical). There was disc hemorrhage in 1 eye, nasal cup in 1 eye, beta-type peripapillary atrophy in 2 eyes and undermining of nasal cup edge in 5 eyes. Pattern of temporal visual field defect, corresponding to the retinal nerve fiber layer defect were horizontal in 1 eye, cecopetal in one eye and cecofugal in 6 eyes.
CONCLUSIONS
It is recommend to carefully evaluate nerve fiber layer in the young, high myopic patients showing undermining of nasal cup edge.