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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

Purpose:

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

Setting:

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

Methods:

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.

Results:

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.

Conclusions:

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

Financial Disclosure:

None

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