Bitemporal Hemianopia Secondary to Acute Zonal Occult Outer Retinopathy.

Authors :: Zaslavsky K
Eshtiaghi A
Jeeva-Patel T
Christakis PG
Margolin E
Source :: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society [J Neuroophthalmol] 2021 Dec 01; Vol. 41 (4), pp. e749-e751.
Publication Year :: 2021
Abstract: Abstract: A 58-year-old man noticed shadows in the temporal visual field of each eye and photopsias within these scotomas for the past year. Formal visual fields demonstrated bitemporal hemianopia. MRI of the sella was normal, but fundus autofluorescence (FAF) demonstrated an area of hyperautofluorescence in the nasal retina of each eye corresponding to the loss of retinal pigment epithelium and photoreceptors. A diagnosis of acute zonal occult outer retinopathy was made based on the presence of trizonal involvement on FAF. This case is a reminder that bitemporal hemianopia can be caused by a retinopathy involving nasal retina in each eye, and FAF is a very useful test when assessing patients with suspected outer retinal disorders.<br />Competing Interests: The authors report no conflicts of interest.<br /> (Copyright © 2021 by North American Neuro-Ophthalmology Society.)

Subjects :: Fluorescein Angiography
Fundus Oculi
Humans
Male
Middle Aged
Tomography, Optical Coherence
Visual Acuity
White Dot Syndromes
Hemianopsia diagnosis
Hemianopsia etiology
Scotoma diagnosis
Scotoma etiology

Language :: English
ISSN :: 1536-5166
Volume :: 41
Issue :: 4
Database :: MEDLINE
Journal :: Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society
Publication Type :: Academic Journal
Accession number :: 33470740
Full Text :: https://doi.org/10.1097/WNO.0000000000001167