Progressing Scintillating Scotoma Captured on Automated Visual Field Testing

A 75-year-old white man with suspected glaucoma and previously normal automated visual fields (AVF; Fig 1A) and a past medical history notable for acephalgic migraine presented to a glaucoma clinic for annual evaluation. At the beginning of the visit, the patient had no new ocular complaints. Visual acuity was 20/30 in the right eye and 20/25 in the left. Pupils were equal, round, and reactive with no afferent pupillary defect. Intraocular pressure was 21 mmHg bilaterally by applanation tonometry.