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A case of pituitary adenoma initially suspected of AZOOR and diagnosed by kinetic perimetry Katsutoshi Goto 1 , Kenichi Mizukawa 1 , Tsutomu Yamashita 1,2 , Atsushi Miki 1,2 , Junichi Kiryu 1 1Dept of Ophthalmol, Kawasaki Med Sch 2Dept of Sensory Sci, Fac of Health Sci and Technol, Kawasaki Univ of Med Welfare pp.545-550
Published Date 2013/4/15
DOI https://doi.org/10.11477/mf.1410104680
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Abstract. Purpose:To report a case of pituitary adenoma with suspected acute zonal occult outer retinopathy(AZOOR)finally diagnosed by kinetic perimetry. Case:A 38-year-old female consulted an ophthalmologist for blurred vision and temporal visual field defect in the right eye. She was referred to us for suspected AZOOR or retrobulbar optic neuritis in the right eye. Findings:Corrected visual acuity was 1.0 in the right eye and 1.5 in the left. Blind spot enlargement and paracentral scotoma of right eye, Ⅰ/1a temporal hemianopia of left eye were detected by Goldmann perimetry. There was no abnormality in the left eye by Humphrey perimetry 10-2 program. Because multifocal electroretinogram was normal, AZOOR was ruled out. Pituitary adenoma was detected by magnetic resonance imaging(MRI). Conclusion:Kinetic perimetry using stimulus sizeⅠ is useful in detecting early changes in pituitary adenoma. In patients presenting abnormal visual fields resembling AZOOR, we should also keep in mind the possibility of intracranial lesion.


Copyright © 2013, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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