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Scattered depressions with temporal preponderance in visual field test coexisting with optic disc temporal atrophy in cerebral arteriovenous malformation

Authors Gokce G, Oren NC, Ceylan OM, Mumcuoglu T, Hurmeric V

Received 11 August 2013

Accepted for publication 5 September 2013

Published 11 October 2013 Volume 2013:7 Pages 2031—2035

DOI https://doi.org/10.2147/OPTH.S52796

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 3

Gokcen Gokce,1 Nisa Cem Oren,2 Osman Melih Ceylan,3 Tarkan Mumcuoglu,3 Volkan Hurmeric3

1Sarikamis Military Hospital, Department of Ophthalmology, 2Department of Radiology, Kars, 3Gulhane Military Medical Academy, Department of Ophthalmology, Ankara, Turkey

Abstract: In this article, the unusual association of optic disc temporal atrophy associated with scattered depressions with temporal preponderance in visual field test resembling incomplete bitemporal hemianopsia is reported. A 22-year-old man with cerebral arteriovenous malformation (AVM), which was located adjacent to the inferomedial portion of the posterior limb of the right internal capsule at the level of lateral ventricle, revealed interesting and unexpected ophthalmological findings. Possible mechanisms including anatomical variant, previously larger AVM, and retrograde optic neuropathy were mentioned. This case also highlighted that the usual complaint of visual disturbance might associate with unusual visual field defect in cerebral AVMs.

Keywords: arteriovenous malformation, bitemporal hemianopsia, optic chiasm, optic nerve, vascular steal

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