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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)893-896
Number of pages4
JournalAmerican journal of ophthalmology
Volume143
Issue number5
DOIs
StatePublished - May 1 2007

ASJC Scopus subject areas

  • Ophthalmology

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