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Updated: Jun 2, 2026

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Assessing Binocular Central Visual Field and Binocular Eye Movements in a Dichoptic Viewing Condition
Published on: July 21, 2020
[Incidental finding of bilateral altitudinal visual field defects].
1Abteilung für Neuroophthalmologie und Strabismologie, Kantonsspital St. Gallen, St. Gallen, Schweiz. daniel.mojon@kssg.ch
Summary
Bilateral superior segmental optic hypoplasia, a rare condition causing visual field defects, was diagnosed in a young woman. This finding is potentially linked to maternal diabetes and sacral agenesis syndrome.
Area of Science:
- Ophthalmology
- Genetics
- Endocrinology
Background:
- Maternal diabetes is a known risk factor for various congenital anomalies.
- Sacral agenesis syndrome is a complex developmental disorder often associated with maternal diabetes.
- Optic nerve hypoplasia is a congenital condition affecting vision.
Observation:
- A 28-year-old woman presented with asymptomatic bilateral inferior altitudinal visual field defects.
- Fundoscopic examination revealed superior hypoplastic optic discs.
Findings:
- The patient was diagnosed with bilateral superior segmental optic hypoplasia.
- The condition was noted in the context of the patient's history of maternal diabetes and sacral agenesis syndrome.
Implications:
- This case highlights a potential association between maternal diabetes, sacral agenesis syndrome, and optic nerve development.
- Further research may elucidate the specific mechanisms linking these conditions.
- Early identification of optic nerve hypoplasia is crucial for visual development management.

