Atlas of Ophthalmology

Diffuse Thinning of Retinal Nerve Fiber Layer after Traumatic Brain Injury (OS, Triton OCT)

Diffuse Thinning of Retinal Nerve Fiber Layer after Traumatic Brain Injury (OS, Triton OCT)
RNFL Map, OS: diffuse thinning of retinal nerve fiber layer caused by a traumatic brain injury with a lesion of the retrochiasmal pathway in 03/2017and a transneuronal retrograde degeneration of the retinal ganglion cells and retinal nerve fibers. Patient: female, 51 years of age, BCVA 1.0 at OD, 1.0 at OS, IOP 15/ 16 mmHg, homonymous bilateral hemianopia , traumatic brain injury with subdural hematoma in 03/2017. Now visual fields presenting a homonymous bilateral hemianopia caused by a MRI-lesion of the retrochiasmal pathway. The retinal ganglion cell thickness maps showing a homonymous hemispheric thinning due to the transneuronal retrograde degeneration the retinal ganglion cells. Homonymous bilateral field defects, left side Literature: Park HY, Park YG, Cho AH, Park CK. Transneuronal retrograde degeneration of the retinal ganglion cells in patients with cerebral infarction. Ophthalmology. 2013 Jun;120(6):1292-9
Michelson, Georg, Prof. Dr. med., Interdisziplinäres Zentrum für augenheilkundliche Präventivmedizin und Imaging, Augenklinik, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Erlangen, Deutschland
ICD H53.462
Retina -> Traumas -> Homonymous Hemispheric Degeneration of Retinal Ganglion Cell Layer (OCT Triton, VF)
11008
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