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PubMed · 12208269

Eye-rubbing optic neuropathy.

Lorenzo Pecora·Paul Sibony·Stuart Fourman
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Abstract

PURPOSE: To describe a patient whose "normal tension glaucoma" appears to have been produced by a long-standing habit of repetitive, bilateral eye rubbing. DESIGN: Observational case report. METHODS: A 46-year-old man presented with a "haze" over the left eye and had progressive bilateral optic neuropathy associated with bilateral normal intraocular pressure, pathological cupping of the optic disks, and nerve fiber bundle visual field defects. RESULTS: Over a 4-year period, vision in the left eye deteriorated to no light perception. Progressive deterioration in the right eye stopped only after the patient ceased a 20-year habit of forceful rubbing of his eyes. After that, the decline in vision was terminated and both visual acuity and visual field were stabilized over an 8-year follow-up. CONCLUSION: It may be appropriate to include "eye rubbing" in the differential diagnosis of unexplained progressive optic neuropathy in presumed normal tension glaucoma.

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EyeGlaucoma, Open-AngleHumansIntraocular PressureMaleMassageMiddle AgedOptic Nerve DiseasesVision DisordersVisual AcuityVisual FieldsCase ReportsJournal Article

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Lorenzo Pecora, Paul Sibony, Stuart Fourman. 2002. Eye-rubbing optic neuropathy.. https://doi.org/10.1016/s0002-9394(02)01498-8

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