Binasal Visual Field Defects from Simultaneous Bilateral Retinal Infarctions in Sickle Cell Disease

Michael Cusick; Hassanain S. Toma; Thomas S. Hwang; Justin C. Brown; Neil R. Miller; N. A. Adams

doi:10.1016/j.ajo.2006.12.002

Binasal Visual Field Defects from Simultaneous Bilateral Retinal Infarctions in Sickle Cell Disease

Michael Cusick, Hassanain S. Toma, Thomas S. Hwang, Justin C. Brown, Neil R. Miller, N. A. Adams

School of Medicine

Research output: Contribution to journal › Article › peer-review

10 Scopus citations

Abstract

Purpose: To report a case of retinal occlusive disease producing binasal visual field defects in a patient with sickle cell (SC) disease. Design: Retrospective case report. Methods: A 21-year-old man with SC disease presented with binasal field defects and 20/20 acuity in each eye. Results: Initial ophthalmoscopy and fluorescein angiography revealed no abnormalities. Optical coherence tomography (OCT) demonstrated bilateral temporal inner retinal hyperreflectivity, and multifocal electroretinography (mfERG) confirmed retinal dysfunction. Several weeks later, ophthalmoscopy and angiography demonstrated macular arteriolar occlusive disease. Conclusions: Simultaneous bilateral macular occlusive events are uncommon in patients particularly with SC disease. Although the binasal field defects raised the suspicion of a process affecting the optic nerves, the OCT and mfERG proved essential in diagnosing retinal rather than optic nerve disease.

Original language	English (US)
Pages (from-to)	893-896
Number of pages	4
Journal	American journal of ophthalmology
Volume	143
Issue number	5
DOIs	https://doi.org/10.1016/j.ajo.2006.12.002
State	Published - May 2007

ASJC Scopus subject areas

Ophthalmology

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10.1016/j.ajo.2006.12.002

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title = "Binasal Visual Field Defects from Simultaneous Bilateral Retinal Infarctions in Sickle Cell Disease",

abstract = "Purpose: To report a case of retinal occlusive disease producing binasal visual field defects in a patient with sickle cell (SC) disease. Design: Retrospective case report. Methods: A 21-year-old man with SC disease presented with binasal field defects and 20/20 acuity in each eye. Results: Initial ophthalmoscopy and fluorescein angiography revealed no abnormalities. Optical coherence tomography (OCT) demonstrated bilateral temporal inner retinal hyperreflectivity, and multifocal electroretinography (mfERG) confirmed retinal dysfunction. Several weeks later, ophthalmoscopy and angiography demonstrated macular arteriolar occlusive disease. Conclusions: Simultaneous bilateral macular occlusive events are uncommon in patients particularly with SC disease. Although the binasal field defects raised the suspicion of a process affecting the optic nerves, the OCT and mfERG proved essential in diagnosing retinal rather than optic nerve disease.",

author = "Michael Cusick and Toma, {Hassanain S.} and Hwang, {Thomas S.} and Brown, {Justin C.} and Miller, {Neil R.} and Adams, {N. A.}",

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T1 - Binasal Visual Field Defects from Simultaneous Bilateral Retinal Infarctions in Sickle Cell Disease

AU - Cusick, Michael

AU - Toma, Hassanain S.

AU - Hwang, Thomas S.

AU - Brown, Justin C.

AU - Miller, Neil R.

AU - Adams, N. A.

PY - 2007/5

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N2 - Purpose: To report a case of retinal occlusive disease producing binasal visual field defects in a patient with sickle cell (SC) disease. Design: Retrospective case report. Methods: A 21-year-old man with SC disease presented with binasal field defects and 20/20 acuity in each eye. Results: Initial ophthalmoscopy and fluorescein angiography revealed no abnormalities. Optical coherence tomography (OCT) demonstrated bilateral temporal inner retinal hyperreflectivity, and multifocal electroretinography (mfERG) confirmed retinal dysfunction. Several weeks later, ophthalmoscopy and angiography demonstrated macular arteriolar occlusive disease. Conclusions: Simultaneous bilateral macular occlusive events are uncommon in patients particularly with SC disease. Although the binasal field defects raised the suspicion of a process affecting the optic nerves, the OCT and mfERG proved essential in diagnosing retinal rather than optic nerve disease.

AB - Purpose: To report a case of retinal occlusive disease producing binasal visual field defects in a patient with sickle cell (SC) disease. Design: Retrospective case report. Methods: A 21-year-old man with SC disease presented with binasal field defects and 20/20 acuity in each eye. Results: Initial ophthalmoscopy and fluorescein angiography revealed no abnormalities. Optical coherence tomography (OCT) demonstrated bilateral temporal inner retinal hyperreflectivity, and multifocal electroretinography (mfERG) confirmed retinal dysfunction. Several weeks later, ophthalmoscopy and angiography demonstrated macular arteriolar occlusive disease. Conclusions: Simultaneous bilateral macular occlusive events are uncommon in patients particularly with SC disease. Although the binasal field defects raised the suspicion of a process affecting the optic nerves, the OCT and mfERG proved essential in diagnosing retinal rather than optic nerve disease.

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Binasal Visual Field Defects from Simultaneous Bilateral Retinal Infarctions in Sickle Cell Disease

Abstract

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