Posterior Cortical Atrophy Presenting with Superior Arcuate Field Defect

Sue Ling Wan; Danuta M Bukowska; Stephen Ford; Fred K Chen

doi:10.1155/2015/796381

Posterior Cortical Atrophy Presenting with Superior Arcuate Field Defect

Case Rep Ophthalmol Med. 2015:2015:796381. doi: 10.1155/2015/796381. Epub 2015 Aug 31.

Authors

Sue Ling Wan¹, Danuta M Bukowska², Stephen Ford³, Fred K Chen¹

Affiliations

¹ Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, WA 6009, Australia ; Department of Ophthalmology, Royal Perth Hospital, Perth, WA 6000, Australia.
² Centre for Ophthalmology and Visual Science (Incorporating Lions Eye Institute), The University of Western Australia, Nedlands, WA 6009, Australia.
³ Department of Psychiatry, Sir Charles Gairdner Hospital, North Metropolitan Mental Health Service, Older Adult Program, Nedlands, WA 6009, Australia.

Abstract

An 80-year-old female with reading difficulty presented with progressive arcuate field defect despite low intraocular pressure. Over a 5-year period, the field defect evolved into an incongruous homonymous hemianopia and the repeated neuroimaging revealed progressive posterior cortical atrophy. Further neuropsychiatric assessment demonstrated symptoms and signs consistent with Benson's syndrome.