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Scotoma
(redirected from ring scotoma)

   Also found in: Dictionary/thesaurus, Medical, Wikipedia 0.01 sec.
scotoma [skə′tō·mə]
(medicine)
A blind spot or area of depressed vision in the visual field.

Scotoma 

a blind area within the visual field, not affecting the surrounding area of the eye. Physiologic scotoma is that area of a healthy eye’s visual field corresponding with the optic disk, which does not have photoreceptors. Pathologic scotoma is a diagnostic symptom of many diseases, including retinitis and atrophy of the optic nerve. It is perceived as a dark spot (positive scotoma) or as a blank spot (negative scotoma) that can be detected only through special testing. During teichopsia (scintillating scotoma), which lasts 20–30 minutes, flickering is perceived along the eye’s periphery; the condition is usually accompanied by persistent headaches, nausea, and vomiting. Treatment of scotoma is directed toward the underlying disease.



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Scotoma shape varied widely, from round scotomas centered on a nonfunctioning fovea to ring scotomas surrounding a functioning fovea to highly complex amoeboid shapes.
People with ring scotomas may have 20/20 acuity and be able to recognize small individual letters but not read whole words, and magnifiers may make it even more difficult to use the small central area of vision.
Subsequent to the GA natural history study, we had the opportunity to measure reading rate as a function of letter size going out past 3 degrees in a patient with a macular ring scotoma from Stargardt disease.
 
 
 
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