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Abstract #21017 Published in IGR 10-2
Hypophysial macroadenoma revealed by clinical symptoms simulating chronic glaucoma
El Fekih L; Hmaied W; Moalla S; El Hif S; Kchaou I; Abid M; Sakka S; Darmoul M; Bouhaouala MJournal Français d'Ophtalmologie 2008; 31: 303-306
INTRODUCTION: A large optic cup is a sign of glaucoma, although it has been reported in other optic neuropathies, particularly in compressive neuropathies. CASE REPORT: A 37-year-old man presented with a decrease in visual acuity for 2 months. Fundus biomicroscopic examination revealed a glaucoma-like bilateral and asymmetric large optic cup. Neuroradiological examination revealed an expansive mass in the sella turcica that was compressing the optic tract. CONCLUSIONS: Optic nerve compression can lead to perimetric alterations and optic disc anomalies such as those seen in normal-tension glaucoma. Age under 50 years, visual loss, and neuroretinal rim pallor may lead to a suspicion of compressive neuropathy. LA: French.
Dr. L. El Fekih, Service d'ophtalmologie, Hôpital des Forces de Sécurité Interne, La Marsa, Tunis, Tunisia
Classification:
10 Differential diagnosis e.g. anterior and posterior ischemic optic neuropathy
2.16 Chiasma and retrochiasmal central nervous system (Part of: 2 Anatomical structures in glaucoma)