Central scotoma

Central scotoma

Scotoma is an area of blindness in the field of vision. A central scotoma is a blind spot located in the center of visual field.

Causes and risk factors

The causes of central scotoma include multiple sclerosis, optic nerve glioma, glaucoma, vitamin B12 deficiency, and alcohol intoxication.

Clinical presentation

A central scotoma can occur in one or both the eyes. While looking at any object, the patient will notice a blurred or black spot in a central fixed area of vision. The vision peripheral to the blind spot will appear normal.

Investigations

A central scotoma can be diagnosed on the basis of an ophthalmoscopic examination.

Treatment

Treatment for the central scotoma involves identifying and treating the underlying cause. A central scotoma has very limited scope for treatment.

When to contact a doctor

Contact a doctor as soon as you experience any loss of vision.

Systems involved

Ophthalmology.

Organs involved

Eyes

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