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[黄斑病变是视力损害的一个原因?]

[Macular pathology as a cause of visual impairment?].

作者信息

Matlach J, Nowak J, Pérez Tejón J M, Göbel W

机构信息

Augenklinik und Poliklinik, Universitätsklinikum Würzburg, Josef-Schneider-Str. 11, 97080, Würzburg, Deutschland.

出版信息

Ophthalmologe. 2013 Aug;110(8):761-5. doi: 10.1007/s00347-013-2866-2.

Abstract

This article reports a case of a pituitary adenoma as the cause of unilateral visual impairment and concomitant unilateral macular pathology. Pituitary adenomas can be classified into hormone-secreting and inactive tumors of the adenohypophysis and lead to typical symptoms in cases of hypersecretion of hormones or hypopituitarism. A pituitary adenoma classically presents with bitemporal hemianopia when compression occurs at the optic chiasm. Imaging is crucial in diagnosing pituitary adenomas. Microsurgical or endoscopic transsphenoidal surgery, hormone therapy and radiotherapy are the treatment options.

摘要

本文报告了一例垂体腺瘤导致单侧视力损害并伴有单侧黄斑病变的病例。垂体腺瘤可分为腺垂体激素分泌性肿瘤和无功能性肿瘤,在激素分泌过多或垂体功能减退的情况下会导致典型症状。当视交叉受压时,垂体腺瘤典型地表现为双颞侧偏盲。影像学检查对垂体腺瘤的诊断至关重要。显微手术或内镜经蝶窦手术、激素治疗和放射治疗是治疗选择。

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