Author/Editor		Pahor, Dušica; Pahor, Artur
Title		Gesichtsfelddefekte bei der Erstuntersuchung von Patienten mit nichtarteriitischer anterioren ischämischen Optikusneuropathie
Type		članek
Vol. and No.		Letnik 29, št. 4
Publication year		2015
Volume		str. 130-136
Language		ger
Abstract		Background. The aim of our study was to analyze visual field defects in patients with non-arteritic anterior ischemic optic neuropathy (NA-AION) at initial examination using automated static perimetry. Methods. Medical records of all patients with first attack of acute NA-AION who were admitted to our department during the period of 11 years (2004-2014) were retrospectively reviewed. At the end, from 140 NA-AION patients, 85 patients who fulfilled our inclusion and exclusion criteria remained in the study. In all patients automated static perimetry was performed. Visual field defects were classified into 12 categories and condensed into 5 categories. Results. The average age of our patients was 64.8 years, ranging from 36 to 94. The majority were men, 49 of 85 (57.6%). Except for clinical picture of AION other ophthalmological findings were normal. Typical inferior altitudinal defect with sharp border along the horizontal meridian was observed in 30 of 85 patients (35.3%). Regardless the extent of the visual field defects, inferior part was affected in 54 of 85 patients (63.5%) and superior in 20 of 85 (23.5%). Concentric narrowing of the visual field occurred in 14 of 85 patients (16.5%). In three patients (3.5%%) paracentral scotoma and in two patients (2.4%) temporal defects were observed. Conclusions. Our study confirmed that a combination of relative inferior altitudinal defect with absolute inferior nasal defect is the most common pattern of visual field defects at initial examination in NA-AION patients also using automated static perimetry.
Keywords		optična nevropatija, nearteritična, ishemična, anteriorna vidno polje, izpad perimetrija, računalniška, statična prvi pregled