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JAMA Ophthalmology Clinical Challenge
October 8, 2020

A Woman With Bilateral Visual Field Defects

Author Affiliations
  • 1Department of Ophthalmology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
  • 2now with Department of Ophthalmology, Duke University Medical Center, Durham, North Carolina
JAMA Ophthalmol. Published online October 8, 2020. doi:10.1001/jamaophthalmol.2020.2056

A 52-year-old woman with no relevant medical history presented for evaluation of visual field defects. Her ocular history was notable for open-angle glaucoma in both eyes, diagnosed 3 months previously. Selective laser trabeculoplasty and application of 4 topical agents in both eyes reduced intraocular pressure to the high single digits, yet visual field deterioration had continued. The patient reported headaches and loss of vision in the right eye, which started several months earlier. She had no history of trauma, neurosurgical procedures, or lumbar puncture.

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