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Localized retinal nerve fiber layer defects associated with cotton wool spots

  • Clinical Investigation
  • Published:
Japanese Journal of Ophthalmology Aims and scope Submit manuscript

Abstract

Purpose

To introduce four cases of localized retinal nerve fiber layer (RNFL) defects after emergence of retinal cotton wool spots (CWSs).

Methods

Four patients were evaluated for localized RNFL defects after the appearance of CWSs. Depending on the patient, they were followed up from the beginning of treatment to up to 19 years after the initial events. Fundus photos and other glaucoma examinations, including Stratus optical coherence tomography (OCT) and visual field examinations, were performed during the follow-up visits.

Results

The localized RNFL defects remained stable without any progression for as long as 19 years.

Conclusions

Nonprogressive RNFL defects may occur after the appearance of CWSs, which the examiner may not be able to detect. Clinicians may need to consider not only visual field results and OCT findings but also disc configuration, RNFL defects, and fundus findings to decide on the proper diagnosis and treatment of patients suspected to have glaucoma.

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Author information

Authors and Affiliations

  1. Department of Ophthalmology, Chosun University College of Medicine, Gwangju, Korea

    Jae Woong Koh

  2. Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea

    Ki Ho Park

  3. Department of Ophthalmology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Seoul, Korea

    Mo Sae Kim & Joon Mo Kim

  4. Department of Ophthalmology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, 108 Pyung-Dong, Jongro-Ku, Seoul, 110-746, Korea

    Joon Mo Kim

Authors
  1. Jae Woong Koh
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  2. Ki Ho Park
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  3. Mo Sae Kim
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  4. Joon Mo Kim
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Corresponding author

Correspondence to Joon Mo Kim.

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Cite this article

Koh, J.W., Park, K.H., Kim, M.S. et al. Localized retinal nerve fiber layer defects associated with cotton wool spots. Jpn J Ophthalmol 54, 296–299 (2010). https://doi.org/10.1007/s10384-010-0830-0

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  • DOI: https://doi.org/10.1007/s10384-010-0830-0

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