On Early Diagnosis and Prevention of Secondary Optic Atrophy in Papilloedema

Bynke, Hans

doi:10.1111/j.1755-3768.1966.tb05507.x

Acta Ophthalmologica

1966

DOI: 10.1111/j.1755-3768.1966.tb05507.x

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On Early Diagnosis and Prevention of Secondary Optic Atrophy in Papilloedema

Hans Bynke

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1979

1983

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Cited by 3 publications

References 14 publications

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Glaucomatouslike visual field defects in chronic papilledema

Grehn

Knorr-Held

Kommerell

1981

Albrecht von Graefes Arch. Klin. Ophthalmol.

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In 19 patients, 31 eyes with chronic papilledema were found to have visual field defects other than enlarged blind spots. In this series, the inferior nasal quadrant was most frequently involved. Dense paracentral scotomata were found in the Bjerrum area, some of which later progressed to form ring scotomata. Visual acuity usually deteriorated late in the course of the disease. The similarities of visual field defects in papilledema and glaucoma suggest common pathogenetic mechanisms of nerve fiber atrophy in both diseases.

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Glaucomatouslike visual field defects in chronic papilledema

Grehn

Knorr-Held

Kommerell

1981

Albrecht von Graefes Arch. Klin. Ophthalmol.

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Persistence of papilloedema after operation for intracranial tumour

Vries

Crevel

1983

Journal of the Neurological Sciences

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Quadruple sectoranopia and sectorial optic atrophy: a syndrome of the distal anterior choroidal artery.

Frisén¹

1979

Journal of Neurology, Neurosurgery & Psychiatry

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SUMMARY Loss of upper and lower homonymous sectors in the visual field, and wasting of corresponding sectors in the retinal nerve fibre layer, followed ligation of the distal part of the anterior choroidal artery in a patient with a meningioma of the velum interpositum. Clinical and radiological evidence indicated that the visual pathway was damaged within that part of the lateral geniculate body that is served by the anterior choroidal artery.A syndrome of sectorial optic atrophy and homonymous, horizontal sectoranopia has recently been described in this journal, and attributed to infarction of the territory of the lateral choroidal artery in the dorsal lateral geniculate nucleus (LGN) (Frisen et al., 1978 vessels coming from the distal anterior choroidal artery, which was strikingly dilated (Fig. 1A). Other portions of the tumour were fed from small tortuous vessels coming from the carotid syphon and branches of the middle cerebral artery. There was neither arteriovenous shunting nor filling from external carotid artery branches. The findings were considered compatible with an intraventricular meningioma.A preoperative neuro-ophthalmological examination showed a complete left homonymous hemianopia. Optokinetic stimulation gave a less vigorous response when the drum was rotated towards the right. Both optic nerve heads were swollen, protruding about three dioptres. The cup of the optic disc was nearly obliterated, but only short vascular segments were obscured by overlying oedema. There was a moderate degree of hyperaemia, a few yellow spots, and a few thin splinter haemorrhages at the disc borders. No other abnormalities were seen.

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On Early Diagnosis and Prevention of Secondary Optic Atrophy in Papilloedema

Cited by 3 publications

References 14 publications

Glaucomatouslike visual field defects in chronic papilledema

Glaucomatouslike visual field defects in chronic papilledema

Persistence of papilloedema after operation for intracranial tumour

Quadruple sectoranopia and sectorial optic atrophy: a syndrome of the distal anterior choroidal artery.

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