Ulucanlar Ophthalmology Trainig and Research Hospital, Clinic of Ophthalmology, Ankara, Turkey
Turk J Ophthalmol. 2020 Oct 30;50(5):317-320. doi: 10.4274/tjo.galenos.2020.36360.
A 12-year-old boy being followed up for amblyopia presented to our hospital with visual disturbance in the left eye. The patient's best corrected visual acuity on Snellen chart was 1.0 in the right eye and 0.3 in the left eye. Increased horizontal cup-to-disc ratio was detected on dilated fundus examination. Retinal nerve fiber layer measurement showed diffuse nerve fiber loss and visual field test showed bitemporal hemianopsia. Magnetic resonance imaging revealed a lesion that filled and widened the sella and suprasellar cistern and compressed the optic chiasm. The patient was operated with transcranial approach. The pathologic examination revealed craniopharyngioma.
一位 12 岁男孩因弱视接受随访，左眼出现视力障碍来我院就诊。患者右眼最佳矫正视力为 1.0，左眼为 0.3。散瞳眼底检查发现水平杯盘比增加。视网膜神经纤维层测量显示弥漫性神经纤维丧失，视野检查显示双颞侧偏盲。磁共振成像显示鞍内和鞍上池的病变充满并扩大，压迫视交叉。患者采用经颅入路进行手术。病理检查显示颅咽管瘤。
