| Autor: |
PESCE, G, MONTRONE, F, VELLA, G, GARRIBBA, AP |
| Předmět: |
|
| Zdroj: |
Acta Ophthalmologica (1755375X); Sep2012 Supplement S249, Vol. 90, p0-0, 1p |
| Abstrakt: |
Purpose The authors report on a case of Glaucomatous optic neuropathy complicated by pituitary adenoma Methods Caucasian 54 year old male patient. At the age of 2 divergent strabismus in both eyes and amblyopia in left eye was present; surgical correction for strabismus of both eyes at the age of 7. Since 2000 primary open angle glaucoma in both eyes treated with medical therapy (initially with beta blockers, and later adding carbonic anhydrase inhibitors): mean intraocular pressure of 16 mmHg. Visual field defects typical of glaucomatous optic neuropathy were present and stable over time. The patient underwent surgical removal of cataract in 2007 and 2009 in each respective eye. Results During 2009 very fast deterioration of the visual field in both eyes (OD>OS) with well‐controlled intra ocular pressure (IOP) with medication. No neurological symptoms associated. Magnetic resonance imaging (MRI) of the brain showed a macro pituitary adenoma compressing the optic chiasm. In 2010 the patient underwent surgical removal of the adenoma. Conclusion After removal of the pituitary adenoma and decompression of the optic nerve, the visual fields over the past two years have remained stable with the same defects greater in the right eye than in the left eye. However, the visual quality continues to deteriorate possibly due to surgical intrasellar herniation of the optic nerve. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
|
Plný text