Abedin S, Simmons R J, Hirose T
Ann Ophthalmol. 1981 Oct;13(10):1117-9.
A seemingly glaucomatous double Bjerrum's nerve fiber bundle defect was mimicked by pigment epithelium and receptor degeneration. The discrepancy between normal appearance of the disc and the abnormal visual field was a clue indicating need for further evaluation for retinal disease unrelated to glaucoma. Ophthalmologists should be aware of the possibility of this cause of double Bjerrum's or ring scotoma to avoid protracted workup for nonexistent neurologic disease or treatment of glaucoma.
色素上皮和感受器变性模拟出了看似青光眼性的双 Bjerrum 神经纤维束缺损。视盘外观正常与异常视野之间的差异是一个线索，表明需要对与青光眼无关的视网膜疾病进行进一步评估。眼科医生应意识到这种导致双 Bjerrum 缺损或环形暗点的原因的可能性，以避免对不存在的神经疾病进行冗长的检查或对青光眼进行治疗。
