TY - JOUR
T1 - Early unilateral macular sensitivity changes in microperimetry in a case of pituitary adenoma
AU - Romano, M. R.
AU - Angi, Martina
AU - Romano, Vito
AU - Marticorena, Joaquin
AU - Romano, Ferdinando
PY - 2010/12
Y1 - 2010/12
N2 - The value of the MP-1 microperimeter in early diagnosis of pituitary tumours by detection of changes in macular sensitivity is described. A 21-year-old female presented with blurred vision in the right eye. Ophthalmic examination was unremarkable. Static perimetry of the central visual field (30°) was performed by use of a Humphrey automatic perimeter, and the retinal sensitivity of the 12 central degrees was measured by use of the MP-1. Static perimetry revealed a peripheral visual field defect without involvement of the macular region. The MP-1 revealed an important loss of sensitivity (3.4 ± 4.8 dB) in the central 12°. Magnetic resonance imaging revealed a pituitary adenoma with sellar and suprasellar extension. Three months after surgical removal, use of the MP-1 revealed complete recovery of the sensitivity (19.28 ± 2.5 dB), fixation location, and fixation stability of the right eye. In pituitary tumours, the presence of a sub-clinical form of macular involvement can be demonstrated and followed-up accurately by use of the MP-1.
AB - The value of the MP-1 microperimeter in early diagnosis of pituitary tumours by detection of changes in macular sensitivity is described. A 21-year-old female presented with blurred vision in the right eye. Ophthalmic examination was unremarkable. Static perimetry of the central visual field (30°) was performed by use of a Humphrey automatic perimeter, and the retinal sensitivity of the 12 central degrees was measured by use of the MP-1. Static perimetry revealed a peripheral visual field defect without involvement of the macular region. The MP-1 revealed an important loss of sensitivity (3.4 ± 4.8 dB) in the central 12°. Magnetic resonance imaging revealed a pituitary adenoma with sellar and suprasellar extension. Three months after surgical removal, use of the MP-1 revealed complete recovery of the sensitivity (19.28 ± 2.5 dB), fixation location, and fixation stability of the right eye. In pituitary tumours, the presence of a sub-clinical form of macular involvement can be demonstrated and followed-up accurately by use of the MP-1.
KW - Early diagnosis
KW - Macular sensitivity
KW - Microperimetry
KW - Pituitary adenoma
UR - http://www.scopus.com/inward/record.url?scp=79953066414&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=79953066414&partnerID=8YFLogxK
U2 - 10.1007/s10792-010-9345-4
DO - 10.1007/s10792-010-9345-4
M3 - Article
C2 - 20177956
AN - SCOPUS:79953066414
VL - 30
SP - 709
EP - 711
JO - International Ophthalmology
JF - International Ophthalmology
SN - 0165-5701
IS - 6
ER -