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Intracranial Mass Lesion in a Patient Being Followed up for Amblyopia
Author(s) -
Ali Mert Koçer,
Bayazıt İlhan,
Anıl Güngör
Publication year - 2020
Publication title -
türk oftalmoloji dergisi
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.654
H-Index - 10
eISSN - 2147-2661
pISSN - 1300-0659
DOI - 10.4274/tjo.galenos.2020.36360
Subject(s) - hemianopsia , nerve fiber layer , medicine , optic chiasm , ophthalmology , visual field , lesion , craniopharyngioma , fundus (uterus) , visual acuity , optic nerve , magnetic resonance imaging , optic disc , retinal , radiology , surgery
A 12-year-old boy being followed up for amblyopia presented to our hospital with visual disturbance in the left eye. The patient's best corrected visual acuity on Snellen chart was 1.0 in the right eye and 0.3 in the left eye. Increased horizontal cup-to-disc ratio was detected on dilated fundus examination. Retinal nerve fiber layer measurement showed diffuse nerve fiber loss and visual field test showed bitemporal hemianopsia. Magnetic resonance imaging revealed a lesion that filled and widened the sella and suprasellar cistern and compressed the optic chiasm. The patient was operated with transcranial approach. The pathologic examination revealed craniopharyngioma.

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