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A nomenclature to describe the sequence of visual field defects in progressive thyroid eye disease–compressive optic neuropathy (An American Ophthalmological Society Thesis)

American Journal of Ophthalmology Feb 09, 2020

Freitag SK, et al. - In patients with progression of thyroid eye disease–compressive optic neuropathy (TED-CON), researchers created a novel nomenclature to describe the longitudinal sequence of visual field (VF) defects. A retrospective review of data from 1 institution reported patients with progressive Humphrey VF defects secondary to TED-CON. According to results, for 234 VFs in 37 eyes for 23 patients, the most common inferior defects were stage 1a (small inferior paracentral defect) in 22 of 234 VFs (9.4%), stage 1b (large inferior paracentral defect) in 112 of 234 VFs (47.9%), and stage 1c (inferior altitudinal defect) in 11 of 234 VFs (4.7%). Findings suggested that TED-CON-derived Humphrey VF defects are most often inferior, often have a predictable pattern of progression, and can be categorized into a novel descriptive nomenclature system.
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