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Neuro-Ophthalmology Volume 42, 2018 - Issue 6
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Original Articles

Compressive Lesions of the Optic Chiasm: Subjective Symptoms and Visual Field Diagnostic Criteria

Mikiko TakahashiDepartment of Ophthalmology, School of Medicine, Kitasato University, Sagamihara, JapanORCID Iconhttp://orcid.org/0000-0001-9016-8015
ORCID Icon,
Toshiaki GosekiDepartment of Ophthalmology, School of Medicine, Kitasato University, Sagamihara, Japan;Department of Ophthalmology, Graduate School of Medical Science, Kitasato University, Sagamihara, JapanCorrespondence[email protected]
ORCID Iconhttp://orcid.org/0000-0001-9016-8015
ORCID Icon,
Hitoshi IshikawaDepartment of Ophthalmology, Graduate School of Medical Science, Kitasato University, Sagamihara, Japan;Department of Orthoptics and Visual Science, School of Allied Health Sciences, Kitasato University, Sagamihara, Japan
,
Goukon HiroyasuDepartment of Ophthalmology, School of Medicine, Kitasato University, Sagamihara, Japan;Department of Ophthalmology, Graduate School of Medical Science, Kitasato University, Sagamihara, Japan
,
Kazunori HirasawaDepartment of Ophthalmology, School of Medicine, Kitasato University, Sagamihara, Japan;Moorfields Eye Hospital NHS Foundation Trust and University College London, Institute of Ophthalmology, London, United Kingdom
&
Nobuyuki ShojiDepartment of Ophthalmology, School of Medicine, Kitasato University, Sagamihara, Japan;Department of Ophthalmology, Graduate School of Medical Science, Kitasato University, Sagamihara, Japan
Pages 343-348 | Received 05 Jan 2018, Accepted 05 Feb 2018, Published online: 11 Sep 2018
 
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ABSTRACT

We investigated the diagnostic ability of a new criterion (simple temporal depression) for compressive lesions of the optic chiasm. The subjects were 124 eyes with compressive lesions of the optic chiasm. The controls were 84 eyes. The Humphrey (Carl Zeiss) visual field test was used for visual field testing. The simple temporal depression index was calculated as the ratio of the sums of the thresholds for one line on the nasal side and temporal side of the vertical meridian. The result of new index was 87% sensitivity and 99% specificity. This result suggested that our new criterion will assist the diagnosis in the future.

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