An Incidental Finding of Pseudoexfoliation in Patient With Ophthalmic Artery Occlusion.
10.3341/jkos.2009.50.11.1735
- Author:
Hyun Joon LEE
1
;
Moon Sun JUNG
;
So Young KIM
Author Information
1. Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. ophdrkim@schch.ac.kr
- Publication Type:Case Report
- Keywords:
Ophthalmic artery occlusion;
Pseudoexfoliation syndrome;
Systemic vascular disorder
- MeSH:
Choroid;
Exfoliation Syndrome;
Eye;
Female;
Fluorescein Angiography;
Follow-Up Studies;
Glaucoma;
Humans;
Incidental Findings;
Intraocular Pressure;
Middle Aged;
Nerve Fibers;
Ophthalmic Artery;
Papilledema;
Pupil;
Retinal Vessels;
Retinaldehyde;
Vision, Ocular;
Visual Acuity;
Visual Fields;
Wool
- From:Journal of the Korean Ophthalmological Society
2009;50(11):1735-1739
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of pseudoexfoliation in the unaffected eye in a patient with ophthalmic artery occlusion. CASE SUMMARY: A 49-year-old female presented with sudden vision loss in her right eye. On the initial examination, best corrected visual acuity was 20/500 in the right eye, and 20/20 in the left eye. Intraocular pressure in both eyes was 17 mmHg. Fundus examination showed retinal edema and a cotton wool spot in the right eye. There was a filling delay of choroidal and retinal vessels in the fluorescein angiography. On the slit lamp examination, there was pseudoexfoliation material around the pupil margin and lens capsule in the unaffected eye but no evidence of glaucoma. At the six-month follow-up, best corrected visual acuity in the right eye improved to 20/30 and a retinal nerve fiber layer defect was found at the spot of the previous cotton wool spot. On the visual field examination, visual defects corresponded with a retinal nerve fiber layer defect. CONCLUSIONS: Pseudoexfoliation may be related to a systemic vascular disorder.
