title: BILATERAL OCCIPITAL POLE HYPERTENSIVE STROKE DIAGNOSED WITH MACULAR INTEGRITY ASSESSMENT (MAIA) MICROPERIMETRY.
abstract: OBJECTIVE
  To describe the utility of microperimetry testing in the diagnosis of a bilateral occipital stroke.
  
  
  METHODS
  Retrospective case report.
  
  
  RESULTS
  A 57-year-old male with hypertension presented with complaints of bilateral blurred central vision and bilateral hypertensive retinopathy with cotton-wool spots. Automated perimetry demonstrated a central scotoma in both eyes that did not respect the vertical midline; however, microperimetry testing revealed a bilateral homonymous hemianopia that suggested cerebrovascular disease which was subsequently confirmed with magnetic resonance imaging.
  
  
  CONCLUSIONS
  In cases of unexplained central visual loss, microperimetry testing may be a useful ancillary test for the diagnosis of cerebrovascular disease.
authors.affiliation: Retina Service of Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, Pennsylvania.
authors.forename: Sundeep K
authors.initials: SK
authors.lastname: Kasi
authors.forename: Abtin
authors.initials: A
authors.lastname: Shahlaee
authors.forename: Murtaza K
authors.initials: MK
authors.lastname: Adam
authors.forename: David S
authors.initials: DS
authors.lastname: Ehmann
authors.forename: Arunan
authors.initials: A
authors.lastname: Sivalingam
mesh_terms: D006801:Humans; D006973:Hypertension / Q000175:diagnosis*; D008266:Macula Lutea; D008297:Male; D008875:Middle Aged; D012607:Scotoma / Q000175:diagnosis*; D020521:Stroke / Q000175:diagnosis*; D058609:Visual Field Tests / Q000379:methods*