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Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
[Hypophysial macroadenoma revealed by clinical symptoms simulating chronic glaucoma]
L El Fekih1, W Hmaied, S Moalla
1Service d'ophtalmologie, Hôpital des Forces de Sécurité Interne, La Marsa, Tunis, Tunisie.
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.
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