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Acute Idiopathic Enlargement of Blind Spot

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Encyclopedia of Ophthalmology

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Synonyms

Acute idiopathic blind spot enlargement

Definition

Symptomatic enlargement of the blind spot without commensurate optic disk edema, occurring in conjunction with presumed disease of the peripapillary retina (e.g., papilledma).

Etiology

This disorder may be triggered by a prodromal viral illness.

Clinical Presentation

Patients present with variable features including normal or decreased visual acuity, photopsia, and abrupt onset of visual field defects (i.e., enlarged blind spot). Patients may present with a relative afferent pupillary defect. The most common presentation is in a young myopic female. The retina and optic nerve are normal initially but may show peripapillary retinal pigment epithelial changes later.

Diagnostics

Diagnosis is based on medical history, vision testing, visual field testing, fundoscopic exam, fluorescein angiography, optical coherence tomography (OCT) of the retina, or focal or multifocal electroretinography. Visual field testing shows enlarged blind...

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Further Reading

  • Newcomb RD (2000) Acute, idiopathic blind spot enlargement syndrome. Optom Vis Sci 77(4):178–187

    Article  CAS  PubMed  Google Scholar 

  • Volpe NJ et al (2001) Acute idiopathic blind spot enlargement syndrome: a review of 27 new cases. Arch Ophthalmol 119(1):59–63

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Blanton Eye Institute, Houston Methodist Hospital, 6560 Fannin Street, Scurlock 450, Houston, TX, USA

    Sumayya J. Almarzouqi, Michael L. Morgan & Andrew G. Lee

  2. Departments of Ophthalmology, Neurology, and Neurosurgery, Weill Cornell Medical College, Houston, TX, USA

    Andrew G. Lee

  3. Department of Ophthalmology, The University of Texas Medical Branch, Galveston, TX, USA

    Andrew G. Lee

  4. Department of Ophthalmology, Baylor College of Medicine, 1 Baylor Plaza, Houston, TX, 77030, USA

    Eileen Choudhury & Andrew G. Lee

  5. Department of Ophthalmology, The University of Iowa Hospitals and Clinics, Iowa City, IA, USA

    Andrew G. Lee

Authors
  1. Eileen Choudhury
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  2. Sumayya J. Almarzouqi
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  3. Michael L. Morgan
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  4. Andrew G. Lee
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Corresponding author

Correspondence to Andrew G. Lee .

Editor information

Editors and Affiliations

  1. Dept of Ophthal & Optometry,AKH, Medical University of Wien Dept of Ophthal & Optometry,AKH, Wien, Austria

    Ursula Schmidt-Erfurth

  2. Department of Ophthalmology, Goethe University of Frankfurt am Main Department of Ophthalmology, Frankfurt am Main, Germany

    Thomas Kohnen

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© 2015 Springer-Verlag Berlin Heidelberg (outside the USA)

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Choudhury, E., Almarzouqi, S.J., Morgan, M.L., Lee, A.G. (2015). Acute Idiopathic Enlargement of Blind Spot. In: Schmidt-Erfurth, U., Kohnen, T. (eds) Encyclopedia of Ophthalmology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-35951-4_1146-1

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  • DOI: https://doi.org/10.1007/978-3-642-35951-4_1146-1

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Online ISBN: 978-3-642-35951-4

  • eBook Packages: Springer Reference MedicineReference Module Medicine

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