Of 136 eyes from 68 patients that underwent visual field examination, central scotoma accounted for 69.9%,
cecocentral scotoma connected with blind spot for 8.0%, paracentral and temporal defect for 6.6%, and diffuse defect for 15.5%.
(15) Visual field defects are common and show a central or
cecocentral scotoma. (1,2) A RAPD is not usually present because of the bilateral and symmetric nature of the disease.
Visual field defects in optic neuritis at presentation included diffuse visual field loss (48%), altitudinal defects (15%), central or
cecocentral scotoma (8.3%), arcuate or double arcuate (4.5%), hemianopic defects (4.2%), and others.
Localized
cecocentral scotomas typical of optic neuropathy due to tobacco amblyopia were detected in all the subjects whereas their central vision was preserved.