An Incidental Finding of Pseudoexfoliation in Patient With Ophthalmic Artery Occlusion

Hyun Joon Lee; Moon Sun Jung; So Young Kim

doi:10.3341/jkos.2009.50.11.1735

Journal List > J Korean Ophthalmol Soc > v.50(11) > 1008430

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Lee, Jung, and Kim: An Incidental Finding of Pseudoexfoliation in Patient With Ophthalmic Artery Occlusion

Original Article

J Korean Ophthalmol Soc 2009;50(11):1735-1739.

Published online: 31 August 2009

DOI: https://doi.org/10.3341/jkos.2009.50.11.1735

An Incidental Finding of Pseudoexfoliation in Patient With Ophthalmic Artery Occlusion

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

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

Address reprint requests to So Young Kim, MD, Department of Ophthalmology, College of medicine, Soonchunhyang University #23-20 Bongmyeong-dong, Cheonan 330-721, Korea Tel: 82-41-570-2933, Fax: 82-41-576-2262, E-mail: ophdrkim@schch.ac.kr

Received 23 April 2009 Accepted 28 July 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Ophthalmic artery occlusion, Pseudoexfoliation syndrome, Systemic vascular disorder

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Figure 1.

Anterior segment photographs of the left eye. (A) and (B): Pseudoexfoliative material deposition with curled edge on the anterior lens capsule.

Figure 2.

The Fundus photograph (A) and fluorescein angiographs of the right eye at the initial visit (B: 19.7 sec; C: 41.4 sec; D: 52.1 sec). Marked filling delay in nearly whole retinal and choroidal circulation.

Figure 3.

(A) and (B): Fundus photographs of the affected eye after 2 months and 6 months, respectively. The photographs show decreased cotton wool spots and retinal edema. (C) Red-free photograph after 6 months shows a retinal nerve fiber layer defect on the superior temporal area. (D) Humphrey perimetry after 6 months shows an arcuate visual field defect on the inferior temporal area.

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