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Case Report

A Case of Bilateral Optic Nerve Head Drusen-Induced Inferior Altitudinal Hemianopsia

, , , &
Pages 201-206 | Received 23 Sep 2014, Accepted 21 Feb 2015, Published online: 23 Jun 2015
 

ABSTRACT

The current case involved a 59-year-old woman who was referred to our hospital with bilateral optic nerve abnormality and gradually progressive bilateral inferior visual field defects. An ophthalmological examination revealed superficial optic nerve head drusen (ONHD) and bilateral inferior altitudinal hemianopsia, but no intracranial lesions. The results of an angiogram revealed no evidence of retinal vascular occlusion or anterior ischaemic optic neuropathy (AION). Prior reports suggested that drusen-induced hemianopsia was slowly progressive but that ONHD-induced AION caused acute altitudinal hemianopsia, which led us to the diagnosis of bilateral drusen-induced altitudinal hemianopsia.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.

Notes

Note: Figures 1--4 of this article are available in colour online at http://informahealthcare.com/oph.

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