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Am J Ophthalmol. 2002 Sep;134(3):460-1.

Eye-rubbing optic neuropathy.

Author information

1
EyeSight Associates, Endicott, New York, USA. jpecora@stny.rr.com

Erratum in

  • Am J Ophthalmol. 2003 Aug;136(2):following 403.

Abstract

PURPOSE:

To describe a patient whose "normal tension glaucoma" appears to have been produced by a long-standing habit of repetitive, bilateral eye rubbing.

DESIGN:

Observational case report.

METHODS:

A 46-year-old man presented with a "haze" over the left eye and had progressive bilateral optic neuropathy associated with bilateral normal intraocular pressure, pathological cupping of the optic disks, and nerve fiber bundle visual field defects.

RESULTS:

Over a 4-year period, vision in the left eye deteriorated to no light perception. Progressive deterioration in the right eye stopped only after the patient ceased a 20-year habit of forceful rubbing of his eyes. After that, the decline in vision was terminated and both visual acuity and visual field were stabilized over an 8-year follow-up.

CONCLUSION:

It may be appropriate to include "eye rubbing" in the differential diagnosis of unexplained progressive optic neuropathy in presumed normal tension glaucoma.

PMID:
12208269
[Indexed for MEDLINE]
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