Functional pituitary tumors masquerading as primary glaucoma and effect of hypophysectomy on intraocular tension.

Abstract:

:We report 2 bilateral cases that presented as primary ocular hypertension and primary angle-closure glaucoma, respectively; however, they were subsequently discovered to be harboring secretory pituitary tumors. After transsphenoidal tumor resection, intraocular pressures (IOPs) in all 4 eyes returned to normal levels. Sudden rise in IOP then again served as a primary manifestation of relapse in the second patient with growth hormone secreting pituitary tumor. It was not found feasible for resurgery; thus, patient needed trabeculectomy in both eyes to achieve an optimum control of intraocular tension. We conclude that pituitary adenomas may mimic primary glaucoma without producing vertical hemianopia and cause a reversible rise in IOP. Furthermore, a careful ongoing expert ophthalmologic assessment may serve as a useful clinical marker for early relapse in these tumors.

journal_name

J Glaucoma

journal_title

Journal of glaucoma

authors

Gupta S,Sihota R,Gupta V,Dada T,Gogia V,Sharma A

doi

10.1097/IJG.0b013e31829521f2

subject

Has Abstract

pub_date

2015-03-01 00:00:00

pages

e7-13

issue

3

eissn

1057-0829

issn

1536-481X

journal_volume

24

pub_type

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