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Goldmann visual field testing for progressive compressive optic neuropathy

(A) Visual field-testing of the left eye at presentation. Defects include inferior nasal step and inferior altitudinal defect to less visible stimuli. The right eye shows similar defects. (B) One week later, after 100 mg of prednisone per day, repeat examination shows progression of visual field loss in the left eye. There is now a dense paracentral scotoma (likely an evolving cecocentral scotoma) and increased definition of the inferior nasal step. Also of note is the increasing constriction of isopters to the larger or brighter stimuli. (Contributed by Dr. Mark Duffy.)

Associated Disorders

  • Cavernous sinus thrombosis
  • Euthyroidism
  • Extraocular muscle enlargement
  • Generalized autoimmune diseases
  • Graves ophthalmopathy
  • Hashimoto thyroiditis
  • Hypothyroidism
  • Open angle glaucoma
  • Orbital pseudotumor
  • Rhabdomyosarcoma
  • Sarcoidosis
  • Secondary glaucoma
  • Thyroid-associated ophthalmopathy