Open AccessLocalized bi-nasal macular edema in optic chiasmal syndrome
Author(s) -
Alejandro J. Lavaque,
Taygan Yilmaz,
Miguel CorderoComa
Publication year - 2013
Publication title -
indian journal of ophthalmology/indian journal of ophthalmology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 51
eISSN - 1998-3689
pISSN - 0301-4738
DOI - 10.4103/0301-4738.97079
Subject(s) - medicine , blind spot , central scotoma , expansive , optic chiasm , ophthalmology , visual field , optic chiasma , pituitary adenoma , retinal , optical coherence tomography , optic nerve , adenoma , pathology , neuroscience , compressive strength , materials science , composite material , biology
A 28-year-old healthy male complaining of vision loss in his right eye was discovered to have localized bi-nasal macular edema in the presence of a pituitary adenoma. The presence of a junctional scotoma composed by a central scotoma in the right eye associated with superior temporal quadrantanopia in the fellow eye was seen. The pattern detected in the visual field suggested the presence of an expansive mass at the level of the optic chiasm. Optical coherence tomography findings also revealed subtle macular thickness beyond normal in the superior and nasal quadrants of both maculae. This report illustrates the importance of suspecting a pituitary adenoma in the light of uncharacteristic retinal alterations.