Vision

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Vision Pituitary Tumors

• Charles C. Lin, MD
• Clinical Assistant Professor, Stanford University

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Outline

• Common eye symptoms
• Anatomy
• Diagnosing eye involvement
• Vision after treatment

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Common Eye Symptoms

• Blurry vision
• Double vision
• Misaligned eyes
• Eye pain / headache
• Colors appear washed out
• Droopy eyelid
• Pupil abnormality

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Anatomy
http//camelot.mssm.edu/ygyu/research.html
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http//moodle.rockyview.ab.ca/mod/book/view.php?id
58094chapterid20863
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Visual Acuity
http//www.1800myeyedoc.com/faqaboutus/
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Pupil
http//spinewave.co.nz/anisocoria/anisocoria/
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Color Vision
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Motility Alignment
http//02a53ed.netsolhost.com/eyedocksblog/tag/exo
tropia
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Slit Lamp Exam
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Fundus Exam
http//www.caringfordiabetes.com/Screening-and-Dia
gnosis/MicroComplications/retinopathyscreening.cfm
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http//www.eyedoctom.com/Eyefrmset.html
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Visual Fields
http//www.hindawi.com/crim/ophmed/2012/621872/fig
4/ http//www.medrounds.org/glaucoma-guide/2006/08
/section-6-d-peripheral-vision-visual.html
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http//killinglyeyecare.com/technology/technology-
glaucoma-management/humphrey-visual-field/
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(No Transcript)
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http//neurosurgery.ucla.edu/body.cfm?id145
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Vision after Treatment

• Predictive factors
• Pre-operative vision
• Duration of symptoms

Gnanalingham et al. J Neurol Neurosurg Psychiatry
2004.
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Ongoing Research

• Delayed visual recovery
• Mechanism remyelination or remodeling
• Optic nerve regeneration
• Experimental
• Stimulation of retinal ganglion cells
• Reinnervation of target areas in brain

Kerrison et al. Am J Ophthalmology 2000. Lima et
al. PNAS 2012.
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A Special Thanks to our Sponsors

• Barrow Neurological Institute
• Corcept
• Ipsen
• KARL STORZ Endoskope