title: Macular function in tilted disc syndrome.
abstract: Tilted disc syndrome can cause visual field defects due to an optic disc anomaly. Recent electrophysiological findings demonstrate reduced central outer retinal function with ophthalmoscopically normal maculae. We measured macular sensitivity with the microperimeter and performed psychophysical assessment of mesopic rod and cone luminance temporal sensitivity (critical fusion frequency) in a 52-year-old male patient with tilted disc syndrome and ophthalmoscopically normal maculae. We found a marked reduction of sensitivity in the central 20 and reduced rod- and cone-mediated mesopic visual function. Our findings extend previous electrophysiological data that suggest an outer retinal involvement of cone pathways and present a case with rod and cone impairment mediated via the magnocellular pathway in uncomplicated tilted disc syndrome.
authors.affiliation: Institute of Health and Biomedical Innovation and School of Optometry, Queensland University of Technology, 60 Musk Avenue, Kelvin Grove, Brisbane, QLD 4059, Australia. b.feigl@qut.edu.au
authors.forename: Beatrix
authors.initials: B
authors.lastname: Feigl
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Zele
mesh_terms: D006801:Humans; D008266:Macula Lutea / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged; D009901:Optic Nerve Diseases / Q000503:physiopathology*; D010775:Photic Stimulation; D011601:Psychophysics; D017949:Retinal Cone Photoreceptor Cells / Q000502:physiology; D017948:Retinal Rod Photoreceptor Cells / Q000502:physiology; D012684:Sensory Thresholds; D058609:Visual Field Tests; D014795:Visual Pathways / Q000503:physiopathology