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PURPOSE: This study was conducted to describe a case of atypical retinitis pigmentosa initially diagnosed with primary open angle glaucoma. METHODS: Complete ophthalmologic examination, visual field examination, electroretinogram, and Heidelberg Retinal Tomograph were performed. RESULTS: Visual field examination showed arcuate defects extending to large temporal defects OU. Electroretinogram showed significant abnormalities with reduced b wave amplitudes and prolonged implicit times. Heidelberg Retinal Tomograph revealed a small central cup with no neuroretinal rim thinning or nerve fiber layer dropout OU. CONCLUSIONS: The present report suggests that visual field defects atypical for glaucoma should be carefully scrutinized for other etiologies.
Dr. J-C. Lin, Department of Ophthalmology, Taipei City Hospital, Ho-Ping Branch, Taipei, Taiwan. jclin54@yahoo.com.tw
10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy
6.6.2 Automated (Part of: 6 Clinical examination methods > 6.6 Visual field examination and other visual function tests)
6.7 Electro-ophthalmodiagnosis (Part of: 6 Clinical examination methods)
6.9.1.1 Confocal Scanning Laser Ophthalmoscopy (Part of: 6 Clinical examination methods > 6.9 Computerized image analysis > 6.9.1 Laser scanning)