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Modern neuro-ophthalmological evaluation of patients with pituitary disorders.

Abstract

Pituitary adenomas can manifest as ophthalmological symptoms, such as decreased vision, impaired visual field or diplopia. It is important to recognize these neuro-ophthalmological syndromes to achieve early diagnosis and treatment and to improve prognosis. Currently, ophthalmological examination includes precise measuring instruments, such as optical coherence tomography (OCT), which allows the evaluation of optic atrophy related to compression of the anterior optic tract. These measurements are reproducible and are useful for diagnostic and prognostic evaluation. In this review, we describe the ophthalmological syndromes associated with pituitary tumours: anterior optic pathway compression, followed by oculomotor disorders and pituitary apoplexy.

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  • Authors+Show Affiliations

    ,

    Neuro-ophthalmologist Service, Pierre Wertheimer Hospital, 59 Boulevard Pinel, 69677, Bron, France. Electronic address: annelaurevie@yahoo.fr.

    Endocrinology Federation Louis Pradel Hospital, 59 Boulevard Pinel, 69677, Bron, France. Electronic address: gerald.raverot@chu-lyon.fr.

    Source

    Pub Type(s)

    Journal Article
    Review

    Language

    eng

    PubMed ID

    31178379

    Citation

    Vié, Anne-Laure, and Gérald Raverot. "Modern Neuro-ophthalmological Evaluation of Patients With Pituitary Disorders." Best Practice & Research. Clinical Endocrinology & Metabolism, 2019.
    Vié AL, Raverot G. Modern neuro-ophthalmological evaluation of patients with pituitary disorders. Best Pract Res Clin Endocrinol Metab. 2019.
    Vié, A. L., & Raverot, G. (2019). Modern neuro-ophthalmological evaluation of patients with pituitary disorders. Best Practice & Research. Clinical Endocrinology & Metabolism, doi:10.1016/j.beem.2019.05.003.
    Vié AL, Raverot G. Modern Neuro-ophthalmological Evaluation of Patients With Pituitary Disorders. Best Pract Res Clin Endocrinol Metab. 2019 May 30; PubMed PMID: 31178379.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Modern neuro-ophthalmological evaluation of patients with pituitary disorders. AU - Vié,Anne-Laure, AU - Raverot,Gérald, Y1 - 2019/05/30/ PY - 2019/6/11/entrez KW - anterior optic pathway KW - chiasma KW - neuro-ophthalmic disorders KW - oculomotor disorders KW - pituitary apoplexy JF - Best practice & research. Clinical endocrinology & metabolism JO - Best Pract. Res. Clin. Endocrinol. Metab. N2 - Pituitary adenomas can manifest as ophthalmological symptoms, such as decreased vision, impaired visual field or diplopia. It is important to recognize these neuro-ophthalmological syndromes to achieve early diagnosis and treatment and to improve prognosis. Currently, ophthalmological examination includes precise measuring instruments, such as optical coherence tomography (OCT), which allows the evaluation of optic atrophy related to compression of the anterior optic tract. These measurements are reproducible and are useful for diagnostic and prognostic evaluation. In this review, we describe the ophthalmological syndromes associated with pituitary tumours: anterior optic pathway compression, followed by oculomotor disorders and pituitary apoplexy. SN - 1878-1594 UR - https://www.unboundmedicine.com/medline/citation/31178379/Modern_neuro-ophthalmological_evaluation_of_patients_with_pituitary_disorders L2 - https://linkinghub.elsevier.com/retrieve/pii/S1521-690X(19)30028-4 DB - PRIME DP - Unbound Medicine ER -