An Incidental Finding of Pseudoexfoliation in Patient With Ophthalmic Artery Occlusion.

Lee, Hyun Joon; Jung, Moon Sun; Kim, So Young

doi:2009.50.11.1735

J Korean Ophthalmol Soc > Volume 50(11); 2009 > Article

Case Report

Journal of the Korean Ophthalmological Society 2009;50(11):1735-1739.
DOI: https://doi.org/10.3341/jkos.2009.50.11.1735 Published online November 15, 2009.

An Incidental Finding of Pseudoexfoliation in Patient With Ophthalmic Artery Occlusion.

Hyun Joon Lee, Moon Sun Jung, So Young Kim

Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea. ophdrkim@schch.ac.kr

안동맥폐쇄 환자의 반대편 눈에서 발견된 거짓비늘 증후군 1예

이현준ㆍ정문선ㆍ김소영

Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Cheonan, Korea

Abstract

PURPOSE
To report a case of pseudoexfoliation in the unaffected eye in a patient with ophthalmic artery occlusion. CASE SUMMARY: A 49-year-old female presented with sudden vision loss in her right eye. On the initial examination, best corrected visual acuity was 20/500 in the right eye, and 20/20 in the left eye. Intraocular pressure in both eyes was 17 mmHg. Fundus examination showed retinal edema and a cotton wool spot in the right eye. There was a filling delay of choroidal and retinal vessels in the fluorescein angiography. On the slit lamp examination, there was pseudoexfoliation material around the pupil margin and lens capsule in the unaffected eye but no evidence of glaucoma. At the six-month follow-up, best corrected visual acuity in the right eye improved to 20/30 and a retinal nerve fiber layer defect was found at the spot of the previous cotton wool spot. On the visual field examination, visual defects corresponded with a retinal nerve fiber layer defect. CONCLUSIONS: Pseudoexfoliation may be related to a systemic vascular disorder.

Key Words: Ophthalmic artery occlusion;Pseudoexfoliation syndrome;Systemic vascular disorder