PMC3484723_01
Visual fields at the initial visit.. Notes: A relative sensitivity loss in the papilla-macular region and a dense sectorial defect connecting to the blind spot were found in the right eye, and an irregular arcuate scotoma and an inferior nasal step connecting to the inferior region were found in the left eye.
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As shown in Figure 1, a visual field examination with the Humphrey field analyzer program 30-2 (Carl Zeiss Meditec, Dublin, CA) showed a paracentral scotoma and a dense sectorial defect connecting to the blind spot in the inferotemporal field in the right eye.
Red-free fundus photographs of the patient taken in 2002 (top) and 2007 (bottom).. Notes: The right eye showed a newly developed disc hemorrhage (asterisk) associated with the RNFL defect in the superior-temporal region (triangles), and expansion of the width of the RNFL defect in the temporal papillo-macular region (arrows).. Abbreviation: RNFL, retinal nerve fiber layer.
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In comparison with the previous reference fundus photograph from 2002 (Figure 2), in the right eye, it appeared that disc cupping was increased, that a new disc hemorrhage was associated with the RNFL defect in the superotemporal region, and that there was expansion of the width of the RNFL defect in the temporal papilla-macular bundle.
Time-course change of the visual field defects in the right eye (top) and the left eye (bottom).. Note: The right eye showed the development of a paracentral deep scotoma.
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Figure 3 shows the time-course change of the visual field defect in both eyes from 2003 to 2007.
Diurnal variation of intraocular pressure (IOP) in the right eye ( ) and the left eye ( ).
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As shown in Figure 4, the diurnal variation in IOP was a double-variation type in that IOPs were at a low phase at 6 am and rose to a maximum IOP from 8 am to 10 am, after which there was a fall to a low level in the afternoon, followed by a second rise between 4 pm and 6 pm.