Visual Field Changes in Optic Neuritis

Chamlin, Max

doi:10.1001/archopht.1953.00920030710005

Cited by 27 publications

(7 citation statements)

References 2 publications

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“…This figure is similar to the 4% of atypical field defects found by Chamlin (1953), who included these as optic neuritis in his series. If acute optic neuritis is in fact a single aetiological entity our six cases should probably be included.…”

Section: Discussionsupporting

confidence: 83%

Acute optic neuritis: its clinical features and their relation to prognosis for recovery of vision.

Bradley¹,

Whitty²

1967

Journal of Neurology, Neurosurgery & Psychiatry

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Section: Discussionsupporting

confidence: 83%

Acute optic neuritis: its clinical features and their relation to prognosis for recovery of vision.

Bradley¹,

Whitty²

1967

Journal of Neurology, Neurosurgery & Psychiatry

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“…This agrees with the observations of Bradley The defect in the visual fields mostly affected the central field but there were also eyes (80/0) in which the defect did not involve the fixation area. Chamlin (1953) has pointed out that one out of five cases of optic neuritis shows sparing of the fixation area with normal or nearly normal visual acuity.…”

Section: Discussionmentioning

confidence: 99%

Symptoms, Signs and Early Course of Optic Neuritis

Nikoskelainen

1975

Acta Ophthalmologica

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The study was an anlysis of the early course of optic neuritis based on the case histories of 185 patients, 57% of whom were females and 43% males. More than half of the patients suffered from multiple sclerosis. In 28% of the patients the etiology remained unknown. The most common initial symptom was acute decrease in visual acuity, but in 25% the onset was subacute or slow. Pain occured in 62% and preceded decrease in visual acuity in 16% of the cases. The initial attack was unilateral in 70% and bilateral in 30% of the patients. On admission, in 64% of the involved eyes, visual acuity was poor and in 73% the defect in the visual field involved the central field. The optic disc was normal in 46%, blurred and /or hyperaemic in 20%, oedematous in 23% and in 11% there was temporal or total pallor already on admission. The last finding was common in patients with bilateral optic neuritis with a slow onset. Six months after admission visual acuity was good or excellent in 56% and the visual field was normal in 45% of the involved eyes.

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“…The differentiation between ON and AION is not always straightforward since the two diseases share many signs and symptoms. Although a central scotoma has been regarded as the characteristic field defect of ON [2,4,5,9,11,12,13] and a sector scotoma as typical for AION [3,8,12,15], Rizzo and Lessell [16] found a considerable overlap of the visual field defects in ON and AION. Moreover, Keltner et al [10] concluded on the basis of 448 patients in the Optic Neuritis Treatment Trial: ªSince a wide variety of visual field defects can occur with an acute attack of optic neuritis, the pattern of visual field loss is of limited utility in distinguishing optic neuritis from ischemic optic neuropathy and other optic nerve disordersº.…”

Section: Introductionmentioning

confidence: 99%

Visual field defects in optic neuritis and anterior ischemic optic neuropathy: distinctive features

Gerling¹,

Meyer²,

Kommerell³

1998

Graefe's Archive for Clinical and Experimental Ophthalmology

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A sctoma centered on the fixation point with a sloping border is highly characteristic of ON, while an inferior altitudinal defect with a sharp border along the horizontal meridian, particularly in the nasal periphery, is highly characteristic of AION. To identify these diagnostic criteria, it can be necessary to examine full fields. With restriction of perimetry to 30 degrees a large central scotoma can be mistaken for a diffuse defect and the border in the nasal periphery can be missed.

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Visual Field Changes in Optic Neuritis

Cited by 27 publications

References 2 publications

Acute optic neuritis: its clinical features and their relation to prognosis for recovery of vision.

Acute optic neuritis: its clinical features and their relation to prognosis for recovery of vision.

Symptoms, Signs and Early Course of Optic Neuritis

Visual field defects in optic neuritis and anterior ischemic optic neuropathy: distinctive features

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