View abstract

This abstract is assigned to session Video

Title

Progressive visual field loss, increasing myopia and excavated discs in a young adult: Differential diagnosis and treatment

Purpose	We describe a 23 years old male with progressive visual field loss, associated myopia and surprisingly excavated discs. Our clinical management of these disturbances is discussed.
Methods	Case-report.
Results	On first view, because of the age of the patient, the most probable diagnoses were Retinitis Pigmentosa, Primary Optic Atrophy (lesion involving the chiasm and optic tract), Primary Juvenile Glaucoma or Hereditary Optic Neuropathy; however none of them could be diagnosed during the initial examinations. Extensive neurological and ophthalmological investigations were performed.
Conclusion	For the differential diagnosis of the young- adult onset of extensive visual field loss associated with disc excavation, a broad knowledge of general ophthalmology is necessary. It is imperative to ensure treatment plans are reviewed regularly where the diagnosis is unsure. Young patients with progressive visual field loss and excavated discs should be treated with hypotensive medication in spite of un uncertain diagnosis. A regular review and a strict follow-up of young patients is very important.

Author 1

Last name	POURJAVAN
Initials	S
City	Zaventem