뇌하수체선종으로 인한 단안 무광각 환자에서 수술 후 정상시력 회복을 보인 1예

• 영문명: A Case of Complete Visual Recovery From No Light Perception After Resection of Pituitary Adenoma
• 발행기관: 대한안과학회
• 저자명: 김상현 석경원 이주은,Sang Hyun Kim, MD, Kyung-Won Suk, MD, Joo Eun Lee, MD, PhD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume50,number9, 1437~1441쪽, 전체 5쪽
• 주제분류: 의약학 > 의학일반
• 파일형태: PDF
• 발행일자: 2009.09.15

영문 초록

Purpose: We report a case of a patient with no preoperative light perception who achieved complete visual recovery after transsphenoidal resection of a pituitary adenoma. Case summary: A 53-year-old man with a history of pituitary adenomectomy visited our clinic complaining of decreased vision of 7 weeks ducation. His best-corrected visual acuity was 1.2 in his right eye, and he had no light perception (NLP) in his left eye. Light reflex was absent in the left eye, and no consistent wave was detected in the left eye on flash visual evoked potential (FVEP). A pituitary adenoma 3×3.5 cm in diameter was found following magnetic resonance imaging (MRI), and was removed using a transsphenoidal approach and gamma knife radiosurgery. Six weeks postoperatively, his best corrected visual acuity improved to 1.0 in the left eye. Conclusions: Prompt management should be initiated in patients with no light perception vision, due to compressive optic neuropathy.

키워드

Blindness, Pituitary adenoma, Recovery vision