A Case of Optic Atrophy and Visual Field Defect in Periventricular Leukomalacia.

Kim, Ho Yun; Choi, Hee Young; Lee, Ji Woong

doi:2013.54.6.987

J Korean Ophthalmol Soc > Volume 54(6); 2013 > Article

Case Report

Journal of the Korean Ophthalmological Society 2013;54(6):987-993.
DOI: https://doi.org/10.3341/jkos.2013.54.6.987 Published online June 15, 2013.

A Case of Optic Atrophy and Visual Field Defect in Periventricular Leukomalacia.

Ho Yun Kim, Hee Young Choi, Ji Woong Lee

Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea. glaucoma@pusan.ac.kr

뇌실주위백질연화증 환자에서 동반된 시신경 위축과 시야 결손 1예

김호윤⋅최희영⋅이지웅

Department of Ophthalmology, Pusan National University School of Medicine, Busan, Korea

Abstract

PURPOSE
To report a case of visual field defect and optic atrophy in a patient with periventricular leukomalacia. CASE SUMMARY: A 22-year-old woman was referred to our hospital for further glaucoma evaluation. She was diagnosed with normal tension glaucoma by her local ophthalmologist. Best corrected visual acuity and intraocular pressure were 1.0 and 16 mm Hg in both eyes, respectively. Fundus examination showed a cup disc ratio of 0.36 in the right eye and 0.34 in the left eye. However, the optic disc had temporal pallor. Red-free photograph and optical coherence tomography showed supratemporal retinal nerve fiber layer atrophy. Visual field examinations revealed inferior visual field defect in both eyes. The patient was born at 34 weeks of gestation with a birth weight of 1600 g. Brain magnetic resonance imaging (MRI) showed periventricular leukomalacia. CONCLUSIONS: The author presents a case of periventricular leukomalacia with inferior visual field defect and optic atrophy in a patient who was previously diagnosed with glaucoma. If non-specific clinical features that differ from typical glaucomatous clinical features are observed in a patient with a history of prematurity, a brain MRI can aid the diagnosis.

Key Words: Optic atrophy;Periventricular leukomalasia;Visual field defect