case_images: PMC10020936_01
case_images: Fundus photos (a) at initial presentation demonstrating mild temporal pallor more obvious in the left eye. Optical coherence tomography (OCT) of the retinal nerve fiber layer (b) showed a normal average thickness in both eyes. Humphrey 24-2 SITA-Fast visual fields (c) showed central scotomas in both eyes. The stimulus size was III and mean deviation was -10.49dB OD and -7.55dB OS. The visual field index was 76% OD and 79% OS. OCT of the macular ganglion cell-inner plexiform layer (d) did not show any significant abnormalities and there was a left segmentation error.
case_images: cop-2023-0014-0001-529423_f1.jpg
case_images: PMC10020936_01_cop-2023-0014-0001-529423_f1.jpg
case_images: F1
case_images: Humphrey visual field testing demonstrated central scotomas in both eyes (Fig. 1).
case_images: At final follow-up 24 months after initial presentation, Humphrey 24-2 SITA-Fast visual fields (a) showed less dense central scotoma. The stimulus size was III and mean deviation was -8.69dB OD and -6.22dB OS. The visual field index was 88% OD and 89% OS. OCT of the retinal nerve fiber layer (b) showed temporal thinning in both eyes and there was diffuse thinning in the ganglion cell layer-inner plexiform layer (c).
case_images: cop-2023-0014-0001-529423_f2.jpg
case_images: PMC10020936_01_cop-2023-0014-0001-529423_f2.jpg
case_images: F2
case_images: Humphrey visual field testing demonstrated bilateral central scotomas and OCT retinal nerve fiber layer (RNFL) showed interval thinning of the temporal portion of the optic nerve (Fig. 2).