Tilted Disc Syndrome with Bitemporal Hemianopia in a 67-Year-Old Woman with High Myopia and Mixed/Combined-Mechanism Glaucoma: A Report of a Rare Case

Bitemporal hemianopia typically results from compression of the optic chiasm by sellar, suprasellar, or chiasmal lesions. Most of the cases of bitemporal hemianopia are secondary to pituitary masses. Defects in the temporal half of the visual field that mimic those that are caused by such pituitary or chiasmal lesions are known as bitemporal “pseudohemianopia” and involve orbital pathology. Tilted disc syndrome is an eye anomaly that may result in bitemporal visual field deficits similar to those that are caused by extrinsic or intrinsic mass effect on the optic chiasm. We report an incidentally found tilted disc syndrome in a patient with a history of surgically treated high myopia and the symptoms of  bilateral, gradual vision loss.