A Single Isolated Cotton-Wool Spot not Associated with Systemic Diseases
Journal of the Korean Ophthalmological Society
; : 1898-1903, 2012.
Article
em Ko
| WPRIM
| ID: wpr-134196
Biblioteca responsável:
WPRO
ABSTRACT
PURPOSE: To present a case of a single isolated cotton-wool spot in a healthy patient. CASE SUMMARY: 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.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Valores de Referência
/
Retina
/
Retinaldeído
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Fator Reumatoide
/
Seguimentos
/
Cárie Dentária
/
Tomografia de Coerência Óptica
/
Olho
/
Testes de Campo Visual
/
Fibras Nervosas
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Adult
/
Female
/
Humans
Idioma:
Ko
Revista:
Journal of the Korean Ophthalmological Society
Ano de publicação:
2012
Tipo de documento:
Article