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Case Reports
. 2013 Jul;61(7):351-3.
doi: 10.4103/0301-4738.97079.

Localized bi-nasal macular edema in optic chiasmal syndrome

Alejandro J Lavaque  1 , Taygan Yilmaz, Miguel Cordero-Coma
Affiliations
Case Reports

Localized bi-nasal macular edema in optic chiasmal syndrome

Alejandro J Lavaque et al. Indian J Ophthalmol. 2013 Jul.

Abstract

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.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Threshold 30-2 visual fields. Left: Presence of junctional scotoma composed by a central scotoma in OD. This was suggested of an expansive mass at the level of the optic chiasm. Right: Superior temporal quadrantanopia in OS
Figure 2
Figure 2
Central nervous system MRI. Left: Pituitary dependent macroadenoma. Right: Important volume reduction after medical treatment
Figure 3
Figure 3
Threshold 30-2 visual fields. Full visual field recovery experienced after 8 months
See this image and copyright information in PMC

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