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SCOTOMAS IN THE VISUAL FIELD AS THE FIRST SIGN OF INTRACRANIAL EXPANSION. CASE REPORT
Summary
Visual field loss can stem from various eye conditions or intracranial issues. Early diagnosis using perimetry and imaging aids in effective interdisciplinary treatment and improved patient outcomes.
Area of Science:
- Ophthalmology
- Neurology
- Medical Imaging
Background:
- Glaucoma is the leading cause of visual field loss, but other factors include local eye damage, endocrine orbitopathy, toxic/nutritional neuropathies, and intracranial lesions.
- Visual field defects provide crucial clues to the nature, location, and extent of neurological or ocular damage within the visual pathway.
- Perimetry is an accessible, non-demanding primary diagnostic tool for identifying visual field abnormalities.
Observation:
- A patient presented with visual field deficits at the Department of Ophthalmology.
- Subsequent computed tomography (CT) revealed an intracranial cause for the visual field loss.
- The case necessitated interdisciplinary management involving ophthalmology and neurosurgery.
Findings:
- Perimetric examination indicated visual field outages.
- Computed tomography (CT) identified an intracranial lesion.
- Surgical intervention at the Neurosurgical Department was performed.
Implications:
- Interdisciplinary collaboration between ophthalmology and neurosurgery is crucial for diagnosing and treating complex visual field loss.
- Prompt diagnosis through perimetry followed by targeted imaging (CT/MRI) can lead to effective treatment strategies.
- Surgical management of intracranial lesions causing visual field defects can result in significant visual recovery and improved perimetric findings.
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