Relative Afferent Pupillary Defects in Glaucoma Without Characteristic Field Loss

doi:10.1001/archopht.1979.01020010146010

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Vol. 97 No. 2, February 1979

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Relative Afferent Pupillary Defects in Glaucoma Without Characteristic Field Loss

Alan N. Kohn, MD; Alan P. Moss, MD; Steven M. Podos, MD

Arch Ophthalmol. 1979;97(2):294-296.

Abstract

• Four patients had relative afferent pupillary defects,asymmetric glaucomatous cupping of the optic nerve head, asymmetricintraocular pressure, and normal kinetic visual fields. The"Gunn pupil" can be a sign of early asymmetric glaucoma at astage before visual field defects can be demonstrated by standardperimetry. Three other patients with afferent pupillary defectsand asymmetric intraocular pressures and cupping showed earlyvisual field defects only on repeated, refined perimetry. Novisual field defects were found in five patients with asymmetriccupping and clinically normal pupillary findings.

Author Affiliations

From the Department of Ophthalmology, Mount Sinai School of Medicine of The City University of New York. Dr Kohn is a fellow of the Heed Foundation, Chicago, and Dr Moss is a fellow of Fight for Sight, Inc, New York.

Footnotes

Accepted for publication June 1, 1978.

Reprint requests to Department of Ophthalmology, Mount SinaiSchool of Medicine, 1 Gustave Levy Pl, New York, NY 10029 (DrKohn).

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