A STUDY ON OPHTHALMIC MANIFESTATIONS IN PITUITARY GLAND TUMOURS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 72
Abstract
BACKGROUND Pituitary adenoma is a benign tumour that originates from the adenohypophyseal cells of the anterior lobe of pituitary gland. It accounts for 12% to 15% of all intracranial tumours. A spectrum of ocular manifestations are seen with these tumours ranging from the absence of any visual symptoms to severe visual field defects and loss of vision. The aim of the study is to study the various ocular features and its effect on vision, visual fields and ocular motility in cases of pituitary adenoma diagnosed on CT or MRI. MATERIALS AND METHODS This is a prospective study for a period of 1 year and 8 months conducted in Regional Institute of Ophthalmology, Madras Medical College. 25 patients aged between 25 to 65 years diagnosed as pituitary adenomas on radiological imaging who presented to squint clinic were evaluated after detailed history with visual acuity, pupillary reaction, colour vision, extraocular movements, slit lamp and fundus examination. Visual field examination was done with Octopus field analyser. RESULTS In our study, 25 patients of pituitary adenoma diagnosed on radio imaging were enrolled and evaluated. Most patients were above 50 years, 15 patients of the 25 were above 50 yrs. (60%). Females were predominantly affected (76%). Visual acquity of the patient was between 6/12-6/6 (62%) on presentation. Headache was the commonest mode of presentation (80%). 76% showed field defects of which bitemporal hemianopia was the commonest in 52.9%. Pituitary macroadenoma 96% was the commonest type. Optic atrophy was seen only in 4 cases. Others had normal fundus. CONCLUSION Neuro-ophthalmic evaluation plays a major role not only in early detection, planning of treatment and further follow up, but also prevents visual loss if intervened early.
Authors and Affiliations
Chitra Munusamy Rajendran, Malarvizhi Raman, Sahana Ajjampur
Keywords
Related Articles
- EP ID EP282254
- DOI 10.18410/jebmh/2017/853
- Views 68
- Downloads 0
RANDOMIZED CONTROLLED TRIAL OF LACTULOSE AND LACTULOSE PLUS PROBIOTICS IN THE TREATMENT OF MINIMAL HEPATIC ENCEPHALOPATHY
: Minimal hepatic encephalopathy (MHE) is associated with poor quality of life and increased work disability. Treatment with lactulose and probiotics has shown some benefit. We compared lactulose and a combination of lac...
TO ASSESS THE PROPORTION AND SEVERITY OF DRY EYE FOLLOWING CLEAR CORNEA PHACOEMULSIFICATION SURGERY
BACKGROUND Dry eye is a multifactorial disease of the ocular surface characterized by a loss of homeostasis of the tear film. Corneal nerves are important in the self-regulation of a tear since they provide the sensation...
STUDY OF PREVALENCE AND ASSOCIATED RISK FACTORS FOR HYPERTENSION IN A TEACHING HOSPITAL
BACKGROUND Hypertension is a major public health problem due to its high prevalence all around the globe. Hypertension is a common lifethreatening risk factor for cardiovascular disease in developing countries. We wanted...
A CLINICAL STUDY OF PENETRATING INJURIES OF THE EYE
BACKGROUND Ocular injuries are a major cause of worldwide visual impairment and the penetrating injury of eye is one of the major causes of uniocular and rarely binocular blindness. No matter how small such injuries are,...
CARRYING ANGLE: A MORPHOMETRIC STUDY IN SOUTH INDIAN POPULATION
Apes and humans are distinguished from other primate species in possessing carrying angle at the elbow. When the upper extremity is in the anatomic position, the long axis of the humerus and the long axis of the ulna for...