Localized bi-nasal macular edema in optic chiasmal syndrome

• Main Authors: Alejandro J Lavaque, Taygan Yilmaz, Miguel Cordero-Coma
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2013-01-01
• Series: Indian Journal of Ophthalmology
• Subjects: Anxiety; cataract; intraocular pressure; melatonin; pain; topical anesthesia; Binocular vision; near point of convergence; visual symptoms; Electron microscopy; intravitreal injection; light microscopy; methotrexate; rabbit; retina; Contact lens; healthcare workers; health professionals; Collagen implant; mitomycin C; ologen; trabeculectomy; Air; cataract surgery; inflammation; Carotid-cavernous fistula; endovascular treatment; Graves′ ophthalmopathy; Macular edema; optical coherence tomography; pituitary adenoma
• Online Access: http://www.ijo.in/article.asp?issn=0301-4738;year=2013;volume=61;issue=7;spage=351;epage=353;aulast=Lavaque

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.