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Atrial fibrillation diagnosis resulting from visual fields examination

Poster Details

First Author: T.Papapavlidou GREECE

Co Author(s): S. Roumelis   F. Akritidou   A. Karachalios   I. Kassos   C. Karagiannidis        

Abstract Details


To present a case in which atrial fibrillation was diagnosed because of a specific finding in a routine ophthalmological check-up.


Department of Ophthalmology, General Hospital of Serres, Serres, Greece


A 72-year-old male, diagnosed with glaucoma two years prior and under treatment with tafluprost, visited the outpatient department as follow-up. His intraocular pressure was 17 and 15 mm Hg, his visual acuity 5/10 cc (Snellen optotype) in both eyes and his cup to disc ratio 0,7 and 0,6. The visual fields examination showed an arcuate scotoma in the right eye and a total upper temporal quadrant scotoma in the left eye. Due to the specifically focused character of the left eye's lesion, untypical of glaucoma, the patient was referred for a neurological and cardiological examination.


The brain Computed Tomography (CT) scan performed, showed a very small infarct in the posterior limb of the internal capsule on the right side. The Electrocardiogram (ECG) indicated the presence of atrial fibrillation. A full blood count examination,as well as a cardiovascular ultrasound, cardiac stress test and Single-Photon Emission Computed Tomography (SPECT) examination, yielded no further pathological findings. The patient was started on metoprorol and rivaroxaban.


Ophthalmological examination's findings can reveal signs of an underlying systemic disease and lead to timely diagnosis and treatment.

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