A Single Isolated Cotton-Wool Spot not Associated with Systemic Diseases
Journal of the Korean Ophthalmological Society
;
: 1898-1903, 2012.
Article
in Korean
| WPRIM
| ID: wpr-134197
ABSTRACT
PURPOSE:
To present a case of a single isolated cotton-wool spot in a healthy patient. CASESUMMARY:
A 43-year-old woman with no systemic disease complained of sudden inferior field defect of the right eye. On fundoscopic examination of the right eye, a single soft white spot was observed in the superotemporal vascular arcade. An elevated hyper-reflective area in the inner retina corresponding to a white spot was observed on optical coherence tomography. Automated perimetry revealed an arcuate field defect which was wider than the cotton-wool spot. A complete workup for systemic diseases was within normal range except a positive rheumatoid factor. At the 2-week follow-up, the patient's subjective symptom improved and the white spot decreased. After 6 months, the cotton-wool spot disappeared and slit-like retinal nerve fiber layer (RNFL) defects corresponding to the location of the cotton-wool spot was noticed. One year later, disc and RNFL defect were unchanged but the previous field defect disappeared.CONCLUSIONS:
Isolated cotton-wool spots can occur without serious systemic diseases in healthy patients. A single isolated cotton-wool spot in the present case disappeared spontaneously leaving permanent structural damage on the retina over time.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Reference Values
/
Retina
/
Retinaldehyde
/
Rheumatoid Factor
/
Follow-Up Studies
/
Dental Caries
/
Tomography, Optical Coherence
/
Eye
/
Visual Field Tests
/
Nerve Fibers
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Journal of the Korean Ophthalmological Society
Year:
2012
Type:
Article
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