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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 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 • Colors appear washed out • Droopy eyelid • Pupil abnormality
Anatomy http://camelot.mssm.edu/~ygyu/research.html
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
Visual Acuity http://www.1800myeyedoc.com/faqaboutus/
Pupil http://spinewave.co.nz/anisocoria/anisocoria/
Motility & Alignment http://02a53ed.netsolhost.com/eyedocksblog/tag/exotropia
Fundus Exam http://www.caringfordiabetes.com/Screening-and-Diagnosis/MicroComplications/retinopathyscreening.cfm
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
http://killinglyeyecare.com/technology/technology-glaucoma-management/humphrey-visual-field/http://killinglyeyecare.com/technology/technology-glaucoma-management/humphrey-visual-field/
Vision after Treatment • Predictive factors • Pre-operative vision* • Duration of symptoms Gnanalingham et al. J Neurol Neurosurg Psychiatry 2004.
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.
A Special Thanks to our Sponsors Barrow Neurological Institute Corcept Ipsen KARL STORZ Endoskope