title: Nerve fiber bundle visual field defect resulting from a giant peripapillary cotton-wool spot.
abstract: Cotton-wool spots are the clinical manifestation of focal infarcts of the retinal nerve fiber layer. They rarely cause significant visual field loss. A large idiopathic cotton-wool spot in a 34-year-old healthy woman caused a nerve fiber bundle visual field defect and an afferent pupillary defect that remained after the cotton-wool spot had disappeared and the retina and optic nerve appeared normal.
authors.affiliation: Department of Ophthalmology, University of Tennessee, Memphis 38163, USA. echaum@mail.eye.utmem.edu
authors.forename: E
authors.initials: E
authors.lastname: Chaum
authors.forename: R D
authors.initials: RD
authors.lastname: Drewry
authors.forename: G T
authors.initials: GT
authors.lastname: Ware
authors.forename: S
authors.initials: S
authors.lastname: Charles
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D009412:Nerve Fibers / Q000473:pathology*; D012164:Retinal Diseases / Q000150:complications*; D012165:Retinal Ganglion Cells / Q000473:pathology*; D014786:Vision Disorders / Q000209:etiology*; D014792:Visual Acuity; D014794:Visual Fields