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泌乳素瘤与眼睛:一则临床病例及文献综述

Prolactinomas and the eye: a clinical case and review.

作者信息

Sink Makesha, Chou Janel

机构信息

VA Health Administration, VAMC Hampton, Hampton, Virginia 23661, USA.

出版信息

Optom Vis Sci. 2012 Nov;89(11):e85-94. doi: 10.1097/OPX.0b013e31826b094b.

DOI:10.1097/OPX.0b013e31826b094b
PMID:23034337
Abstract

PURPOSE

Elevated prolactin levels may have several etiologies, one of which is a prolactinoma. Prolactinomas, the most prevalent pituitary tumors, may be more common than once described. These tumors can result in ocular complications such as vision loss and visual field defects. Prolactinomas are easily treated but need to be identified early in order to prevent more serious systemic complications.

CASE REPORT

A 24-year-old Pacific Islander male presented with sudden blurred vision and an associated visual field defect in the right eye for 4 to 6 months. After performing a magnetic resonance imaging and consultation with an endocrinologist, the patient was diagnosed with a prolactinoma. The patient was treated and demonstrated a complete recovery of visual acuity and visual field defect.

CONCLUSIONS

Prolactinomas are a common pituitary tumor characterized by an increase in prolactin levels. This review describes how prolactinomas are classified, their etiology, subsequent complications, and treatments.

摘要

目的

催乳素水平升高可能有多种病因,其中之一是催乳素瘤。催乳素瘤是最常见的垂体肿瘤,可能比以往描述的更为常见。这些肿瘤可导致眼部并发症,如视力丧失和视野缺损。催乳素瘤易于治疗,但需要早期识别以预防更严重的全身并发症。

病例报告

一名24岁的太平洋岛民男性,右眼突然视力模糊并伴有视野缺损4至6个月。在进行磁共振成像并咨询内分泌科医生后,该患者被诊断为催乳素瘤。患者接受治疗后,视力和视野缺损完全恢复。

结论

催乳素瘤是一种常见的垂体肿瘤,其特征是催乳素水平升高。本综述描述了催乳素瘤的分类、病因、随后的并发症及治疗方法。

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Prolactinomas and the eye: a clinical case and review.泌乳素瘤与眼睛:一则临床病例及文献综述
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Pract Lab Med. 2022 Jul 13;31:e00292. doi: 10.1016/j.plabm.2022.e00292. eCollection 2022 Aug.
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Retinal layers in prolactinoma patients: a spectral-domain optical coherence tomography study.催乳素瘤患者的视网膜层:频域光相干断层扫描研究。
Int Ophthalmol. 2021 Apr;41(4):1373-1379. doi: 10.1007/s10792-021-01701-8. Epub 2021 Jan 22.