首页> 美国卫生研究院文献>Case Reports in Ophthalmology >Monocular Visual Field Defect on Humphrey 24-2 SITA-Fast Testing Later Identified as a Highly Incongruous Homonymous Defect on Humphrey 30-2 SITA-Fast Testing
【2h】

Monocular Visual Field Defect on Humphrey 24-2 SITA-Fast Testing Later Identified as a Highly Incongruous Homonymous Defect on Humphrey 30-2 SITA-Fast Testing

机译:Supphrey的单眼视野缺陷24-2 SITA-FAST测试后来被确定为Humphrey 30-2 SITA-FAST测试上的高度不协调的同性缺陷

代理获取
本网站仅为用户提供外文OA文献查询和代理获取服务,本网站没有原文。下单后我们将采用程序或人工为您竭诚获取高质量的原文,但由于OA文献来源多样且变更频繁,仍可能出现获取不到、文献不完整或与标题不符等情况,如果获取不到我们将提供退款服务。请知悉。

摘要

Monocular visual field defects generally localize at or anterior to the optic chiasm, while homonymous hemianopias localize to the retrochiasmal visual pathway. Highly incongruous visual field defects may be difficult to identify on 24-2 Humphrey visual field testing, and this case demonstrates the value of optical coherence tomography (OCT) ganglion cell-inner plexiform layer (GCIPL) in rapidly localizing the lesion. A 54-year-old woman was found on routine examination to have an isolated superonasal quadrant visual field defect respecting the vertical meridian in the left eye only on Humphrey 24-2 SITA-Fast testing. She had a remote history of significant head trauma. Visual acuity, anterior segment, and fundus examination were normal. OCT revealed a bow-tie atrophy of the retinal nerve fiber layer in the right eye (OD), and binocular homonymous hemi-macular atrophy of OCT GCIPL, confirming the localization was the left retrochiasmal visual pathway. A repeat Humphrey 30-2 SITA-Fast visual field demonstrated that the visual field defect was also present in the OD in a highly incongruous manner. Magnetic resonance imaging of the brain with contrast showed mild atrophy of the left optic tract. This case demonstrates that highly incongruous visual field defects may be difficult to identify on Humphrey 24-2 SITA-Fast visual fields, and OCT GCIPL serves as a rapid way to localize the lesion. More detailed visual field testing including 30-2 programs should be considered in these cases.
机译:单眼视野缺陷通常定位在光学切片上或前侧,而同名的Hemianopias定位于逆核视觉途径。高度不协调的视野缺陷可能难以识别24-2汉弗莱视野测试,并且这种情况证明了光学相干断层扫描(OCT)神经节细胞内丛状层(Gcipl)的价值在快速定位病变中。在常规检查中发现了一个54岁的女性,只有孤立的超数象限视野缺陷左眼垂直于垂直的子午线,只在汉弗莱24-2 Sita-Fast测试。她有一个重要的头部创伤的历史。视力,前段和眼底检查正常。 OCT揭示了右眼(OD)的视网膜神经纤维层的弓形萎缩,以及OCT GCIPL的双目同族半黄斑萎缩,确认定位是左转氯化物视觉途径。重复汉弗莱30-2 SITA-FAST VITESV视野证明了视野缺陷也以高度不协调的方式存在于OD中。具有对比度的脑磁共振成像显示出左光道的温和萎缩。这种情况表明,在SUPHrey 24-2 SITA-FAST视野上可能难以识别高度不协调的视野缺陷,而OCT GCIPL用作本地化病变的快速方法。在这些情况下,应考虑更详细的视野测试,包括30-2节目。

著录项

相似文献

  • 外文文献
  • 专利
代理获取

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号