Article: article from journal or magazin.
Case report (case report): feedback on an observation with a short commentary.
Photophobia as the presenting visual symptom of chiasmal compression.
Journal of Neuro-Ophthalmology
Publication types: Case Reports ; Journal Article Publication Status: ppublish
Five patients with a chief visual complaint of photophobia were subsequently found to have compressive lesions of the optic chiasm. Visual acuity and visual field deficits were often subtle. Magnetic resonance imaging scanning revealed large suprasellar masses, including three pituitary adenomas, a craniopharyngioma, and a clivus chordoma. Photophobia resolved in all patients following treatment of the tumors. A compressive lesion of the optic chiasm should be considered in patients who experience persistent photophobia unexplained by ocular abnormalities.
Adenoma/diagnosis, Adenoma/surgery, Adult, Chordoma/diagnosis, Chordoma/surgery, Craniopharyngioma/diagnosis, Craniopharyngioma/surgery, Diagnosis, Differential, Female, Humans, Magnetic Resonance Imaging, Male, Nerve Compression Syndromes/diagnosis, Optic Chiasm/pathology, Perimetry, Photophobia/diagnosis, Pituitary Neoplasms/diagnosis, Pituitary Neoplasms/surgery, Skull Base Neoplasms/diagnosis, Skull Base Neoplasms/surgery, Visual Acuity, Visual Fields, Visual Pathways/pathology
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