Kawasaki Aki, Purvin Valerie A
Hopital Ophtalmique Jules Gonin, Lausanne, Switzerland.
J Neuroophthalmol. 2002 Mar;22(1):3-8. doi: 10.1097/00041327-200203000-00002.
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.
五名以畏光为主诉的患者随后被发现患有视交叉压迫性病变。视力和视野缺损往往不明显。磁共振成像扫描显示鞍上有大肿块，包括三个垂体腺瘤、一个颅咽管瘤和一个斜坡脊索瘤。所有患者在肿瘤治疗后畏光症状均消失。对于有持续畏光且无法用眼部异常解释的患者，应考虑视交叉压迫性病变。
