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Vision & Pituitary Tumors

Vision & Pituitary Tumors. Charles C. Lin, MD Clinical Assistant Professor, Stanford University. Outline. Common eye symptoms Anatomy Diagnosing eye involvement Vision after treatment. Common Eye Symptoms. Blurry vision Double vision Misaligned eyes Eye pain / headache

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Vision & Pituitary Tumors

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  1. Vision & Pituitary Tumors Charles C. Lin, MD Clinical Assistant Professor, Stanford University

  2. Outline • Common eye symptoms • Anatomy • Diagnosing eye involvement • Vision after treatment

  3. Common Eye Symptoms • Blurry vision • Double vision • Misaligned eyes • Eye pain / headache • Colors appear washed out • Droopy eyelid • Pupil abnormality

  4. Anatomy http://camelot.mssm.edu/~ygyu/research.html

  5. http://moodle.rockyview.ab.ca/mod/book/view.php?id=58094&chapterid=20863http://moodle.rockyview.ab.ca/mod/book/view.php?id=58094&chapterid=20863

  6. Visual Acuity http://www.1800myeyedoc.com/faqaboutus/

  7. Pupil http://spinewave.co.nz/anisocoria/anisocoria/

  8. Color Vision

  9. Motility & Alignment http://02a53ed.netsolhost.com/eyedocksblog/tag/exotropia

  10. Slit Lamp Exam

  11. Fundus Exam http://www.caringfordiabetes.com/Screening-and-Diagnosis/MicroComplications/retinopathyscreening.cfm

  12. http://www.eyedoctom.com/Eyefrmset.html

  13. Visual Fields http://www.hindawi.com/crim/ophmed/2012/621872/fig4/ http://www.medrounds.org/glaucoma-guide/2006/08/section-6-d-peripheral-vision-visual.html

  14. http://killinglyeyecare.com/technology/technology-glaucoma-management/humphrey-visual-field/http://killinglyeyecare.com/technology/technology-glaucoma-management/humphrey-visual-field/

  15. http://neurosurgery.ucla.edu/body.cfm?id=145

  16. Vision after Treatment • Predictive factors • Pre-operative vision* • Duration of symptoms Gnanalingham et al. J Neurol Neurosurg Psychiatry 2004.

  17. Ongoing Research • Delayed visual recovery • Mechanism: remyelination or remodeling • Optic nerve regeneration • Experimental • Stimulation of retinal ganglion cells • Reinnervation of target areas in brain Kerrison et al. Am J Ophthalmology 2000. Lima et al. PNAS 2012.

  18. A Special Thanks to our Sponsors Barrow Neurological Institute Corcept Ipsen KARL STORZ Endoskope

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