Early Detection of Pituitary Macroadenomas - the Ophthalmologist‘s Perspective.

Volume : VII, Issue : VI, June - 2018

Dr. Lily Daniel, Dr. Radhika Dinesh, Dr. Christina Paul

Pituitary macroadenoma, primarily a benign neurological condition initially may present to

the Ophthalmologist with loss of vision.

We report 3 cases of Pituitary macroadenoma that presented to our out patient services with

headache and decreased visual acuity. Confrontation tests elicited a field defect in each

patient superior quadrantanopia in one, a hemianopic field defect in the second and

bitemporal hemianopia in the third which were confirmed by Automated Perimetry..

Magnetic Resonance Imaging (MRI) revealed the presence of Pituitary macroadenoma in all

three. This article highlights the significance of confrontation tests in the out patient

department and careful clinical examination including testing of visual acuity, colour vision, s

winging torch light test to elicit relative afferent pupillary defect and fundus examination in a

patient presenting with headache and blurred vision.