Volume : 7, Issue : 6, June - 2018

Early Detection of Pituitary Macroadenomas - the Ophthalmologist‘s Perspective.

Dr. Lily Daniel, Dr. Radhika Dinesh, Dr. Christina Paul

Abstract :

<p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">Pituitary macroadenoma, primarily a benign neurological condition initially may present to <o:p></o:p></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">the Ophthalmologist with loss of vision. <b style="mso-bidi-font-weight:normal"><u><o:p></o:p></u></b></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">We report 3 cases of Pituitary macroadenoma that presented to our out patient services with <o:p></o:p></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">headache and decreased visual acuity. Confrontation tests elicited a field defect in each <o:p></o:p></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">patient<span style="mso-spacerun:yes">&nbsp; </span>superior quadrantanopia in one, a hemianopic field defect in the second<span style="mso-spacerun:yes">&nbsp; </span>and <o:p></o:p></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">bitemporal hemianopia in the third which were confirmed by Automated Perimetry.. <o:p></o:p></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">Magnetic Resonance Imaging (MRI) revealed the presence of Pituitary macroadenoma in all <o:p></o:p></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">three. This article highlights the significance of confrontation tests in the out patient <o:p></o:p></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">department and careful clinical examination including testing of visual acuity, colour vision, s<o:p></o:p></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">winging torch light test to elicit relative afferent pupillary defect and fundus examination in a <o:p></o:p></span></p> <p class="MsoNormal" style="mso-margin-top-alt:auto;mso-margin-bottom-alt:auto;&#10;line-height:150%"><span style="font-size:12.0pt;line-height:150%;font-family:&#10;&quot;Times New Roman&quot;,&quot;serif&quot;">patient presenting with headache and blurred vision.<o:p></o:p></span></p>