A 13-YEAR-OLD boy with large optic cups and normal intraocular pressures
was being followed as a glaucoma suspect. He had a visual acuity of 20/25
OD and 20/20 OS. He was able to identify all Hardy-Rand-Rittler pseudoisochromatic
color plates. Pupillary responses to light were brisk and there was no afferent
pupillary defect. He had an intermittent exotropia of the right eye, latent
nystagmus, and dissociated vertical divergence. Optic disc examination showed
large optic cups with bilateral thinning of the superior, inferior, and lateral
neuroretinal rims and diffuse nerve fiber layer loss with relative sparing
inferiorly (Figure 1). Humphrey
30-2 visual field examination results showed diffuse bilateral constriction
with an inferior depression that spared fixation (Figure 1).
Brodsky MC. Periventricular Leukomalacia: An Intracranial Cause of Pseudoglaucomatous Cupping. Arch Ophthalmol. 2001;119(4):626–627. doi:10.1001/archopht.119.4.626
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