뇌실주위백질연화증 환자에서 동반된 시신경 위축과 시야 결손 1예

• 영문명: A Case of Optic Atrophy and Visual Field Defect in Periventricular Leukomalacia
• 발행기관: 대한안과학회
• 저자명: 김호윤 최희영 이지웅,Ho Yun Kim, MD, Hee Young Choi, MD, PhD, Ji Woong Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume54,number6, 987~993쪽, 전체 7쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2013.06.15

영문 초록

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.

키워드

Optic atrophy, Periventricular leukomalasia, Visual field defect