Her vision was tied down.

Published

Journal Article

A 50-year-old female presented with progressive painless vision loss in the left eye and was subsequently diagnosed to have a pituitary macroadenoma, consistent with a prolactinoma, which was compressing the chiasm primarily on the left and involving the left cavernous sinus. She was treated with oral bromocriptine, resulting in marked shrinkage of the tumor and significant visual field recovery. Subsequently, she again began noting progressive vision loss in both eyes and was initially thought to have pituitary tumor regrowth. Repeat brain MRI, however, showed chiasmal prolapse with inferior tethering into an empty sella. Surgical fat padding to reposition the chiasm resulted in visual improvement with a different visual field pattern in the left eye. The clinical manifestations and etiopathogenesis of the empty sella syndrome are discussed.

Full Text

Cited Authors

  • Dorotheo, EU; Tang, RA; Bahrani, HM; Schiffman, JS; Bhatti, MT; Lewis, SB

Published Date

  • November 2005

Published In

Volume / Issue

  • 50 / 6

Start / End Page

  • 588 - 597

PubMed ID

  • 16263371

Pubmed Central ID

  • 16263371

International Standard Serial Number (ISSN)

  • 0039-6257

Digital Object Identifier (DOI)

  • 10.1016/j.survophthal.2005.09.001

Language

  • eng

Conference Location

  • United States