Visual field defects in acute optic neuritis - distribution of different types of defect pattern, assessed with threshold-related supraliminal perimetry, ensuring high spatial resolution

Nevalainen, J.; Krapp, E.; Paetzold, J.; Mildenberger, Ingrid; Besch, Dorothea; Vonthein, Reinhard; Keltner, John L.; Johnson, Chris A.; Schiefer, Ulrich

doi:10.1007/s00417-007-0722-2

Cited by 24 publications

(18 citation statements)

References 21 publications

(36 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In recent studies published by Nevalainen et al 15 and Fang et al, 16 a similar visual field pattern was demonstrated. Central scotomas and nerve fiber bundle defects were reported as the most common, with a slight “condensation” of visual loss between the center and the blind spot of the visual field.…”

Section: Commentsupporting

confidence: 62%

Visual Field Profile of Optic Neuritis

Keltner¹

2010

Arch Ophthalmol

View full text Add to dashboard Cite

Section: Commentsupporting

confidence: 62%

Visual Field Profile of Optic Neuritis

Keltner¹

2010

Arch Ophthalmol

View full text Add to dashboard Cite

“…The latter two eyes had very poor visual detection of hand movements and failed to perform GVF initially. Two eyes that showed initial altitudinal defects, which is more common in NAION [3] but also can be seen in ON [1-3,10], recovered completely at the time of final examination, whereas visual field defects in NAION rarely recover. Therefore, follow-up visual field tests may aid in the diagnosis of ON.…”

Section: Discussionmentioning

confidence: 99%

Clinical Characteristics of Optic Neuritis in Koreans Greater than 50 Years of Age

Choi

Kim

Chang

et al. 2012

Korean J Ophthalmol

View full text Add to dashboard Cite

PurposeTo report clinical characteristics of optic neuritis (ON) in Koreans >50 years of age.MethodsA retrospective chart review was performed on patients with ON between January 2000 and December 2009. We obtained the best-corrected visual acuity (BCVA), Goldmann perimetry, relative afferent pupillary defect (RAPD), and color function tests as well as brain magnetic resonance imaging (MRI) findings in patients who were in the acute stage of the disorder.ResultsNine eyes in eight patients were included. The mean age of patients at presentation was 60.5 years (range, 53 to 71 years). Six patients were female, and two were male. There was one patient with bilateral ON. The mean BCVA at presentation was 20 / 400 (no light perception-20 / 70). Eight eyes (89%) complained of pain with eye movement. Six eyes (66%) had disc edema. Central scotoma was the most common field defect. All eyes had color abnormalities. Five eyes in four patients showed abnormalities of the involved optic nerves on MRI. The patients were followed for a mean of 11.3 months (range, 2 to 34 months). All of the patients recovered to a BCVA of 20 / 40 or better within 2 months. On the last follow-up, the mean BCVA was 20 / 20 (20 / 40 to 20 / 16). Four eyes showed remnant central scotoma. One eye had remnant RAPD, and two eyes had mild color abnormalities.ConclusionsAlthough ON is uncommon in elderly patients, it can develop in patients >50 years of age, and clinical features of optic neuritis in elderly patients are similar to those of younger patients.

show abstract

“…Likewise for cases of optic neuritis with unaffected visual acuity, peripheral field defects may be present which would get missed on a test such as the microperimetry and would require a full field evaluation. Nevalainen et al, 1 Fang et al 3 , Rothova Z et al, 5 and Mienberg et al 30 agree with this view, but Keltner J et al 4 opine that in most cases, follow-up of optic neuritis eyes can be monitored by central visual field alone.…”

Section: 25mentioning

confidence: 63%

“…Varying patterns of field loss have been reported, ranging from altitudinal, arcuate and centrocaecal to diffuse and even unilateral hemianopic field defects. [1][2][3][4][5][6][7][8] Nearly all studies on visual fields in optic neuritis have been done using the standard automated perimetry, which has inadequate compensation for eye movements and this is particularly important in cases of poor vision and central scotomas such as those seen in optic neuritis. Microperimetry is a novel diagnostic modality that overcomes this limitation by continuously tracking the patient's fundus during stimulus projection.…”

Section: Introductionmentioning

confidence: 99%

Microperimetry in Optic Neuritis

Bhatia¹,

Lukhmana²,

Singh³

et al. 2016

Ophthalmol Open J

View full text Add to dashboard Cite

Aim: To evaluate microperimetry as a tool for visual field assessment in optic neuritis and compare it with standard automated perimetry. Methods: A case-control study was conducted at a tertiary eye care centre in India. Ten cases of unilateral optic neuritis and 10 healthy controls underwent a detailed ophthalmic evaluation and visual field testing at presentation and 1 month and 3 months follow-up. Visual fields were charted using both the standard automated perimeter (10-2 and 30-2 programs) and microperimeter (central 20 degree program) at each visit. Results: The visual acuity at presentation of the affected eye, fellow eye and control eyes was 0.27±0.19, 0.93±0.14 and 0.94±0.17 respectively. The affected eye visual acuity improved significantly to 0.89±0.24 (p<0.001) at the 3 months follow-up visit. The mean sensitivity thresholds of 10-2 visual field test at presentation were 14.16±11.51, 30.40±1.98 and 31.04±1.95 respectively of which the affected eye showed a significant improvement over 3 months to 28.90±8.36 (p<0.001). The mean sensitivity thresholds of 30-2 visual field test at presentation were 12.88±10.32, 26.03±2.59 and 27.99±2.31 respectively of which the affected eye and fellow eye showed a significant improvement over 3 months to 26.02±7.54 (p<0.001) and 27.86±1.77 (p<0.03) respectively. The mean sensitivity thresholds of microperimetry 20 degree visual fields at presentation were 5.60±7.32, 16.54±1.46 and 17.30±1.64 respectively of which the affected eye showed a significant improvement over 3 months to 16.41±4.87 (p<0.001). Microperimetry fields did not improve completely at 1 month unlike the 10-2 fields and correlated strongly with visual recovery. The 30-2 fields were the most sensitive to determine subclinical affliction of the fellow eyes in optic neuritis. Conclusion: Microperimetry is a sensitive test to evaluate visual fields in optic neuritis and corresponds with visual recovery. The larger 30 degree module is still indispensible for visual field assessment in optic neuritis.

show abstract

Visual field defects in acute optic neuritis - distribution of different types of defect pattern, assessed with threshold-related supraliminal perimetry, ensuring high spatial resolution

Cited by 24 publications

References 21 publications

Visual Field Profile of Optic Neuritis

Visual Field Profile of Optic Neuritis

Clinical Characteristics of Optic Neuritis in Koreans Greater than 50 Years of Age

Microperimetry in Optic Neuritis

Contact Info

Product

Resources

About