Dr.Chaithra Dembala Aroor, A14712
To study the types of sellar lesions that impair visual system and to determine the neuro-ophthalmic manifestations in patients with sellar lesions.
The medical charts of the patients with sellar lesions seen in the Neuro-ophthalmology Department were reviewed retrospectively.The detailed clinical history and the findings of neuro-ophthalmologic examination were recorded.Ocular symptoms,signs and the duration of symptoms were evaluated.
Initial symptoms were transient visual obscurations,visual loss & visual field defect in 16 cases (88.9%), diplopia in 2 cases (11.1%). Neuro-ophthalmologic examination revealed normal optic discs in both eyes of 6 patients (33.3%),optic atrophy in 12 patients (66.7%), and third cranial nerve palsy in 2 patients (11.1%).
The ophthalmologist is frequently the first physician to encounter a patient with clinical manifestations of intracranial tumors.Neuro-ophthalmologic findings should be carefully evaluated to avoid a delay in the management.
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