Abstract
Background: We report 2 cases of visual field defect caused by an empty sella turcica that was associated with glaucoma. Case Reports: Case 1 was an 82-year-old female with primary open-angle glaucoma that was being treated with eye drops. Humphrey automated perimetry showed binasal hemianopsia. The optic disc showed glaucomatous excavations, with a cup/disc (C/D) ratio of 90%. Magnetic resonance imaging (MRI) revealed an empty sella. Case 2 was a 62-year-old female with elevation of intraocular pressure that was being treated with eye drops. Goldmann perimetry showed a visual field defect that was not associated with optic disc changes. MRI revealed an empty sella. Because in both of these 2 cases intraocular pressure was elevated with typical glaucomatous optic disc and visual field changes, we diagnosed glaucoma with co-existing empty sella. Conclusion: Particular attention should be paid to the appearance of the optic disc and visual field defect in patients with glaucoma.
Original language | English |
---|---|
Pages (from-to) | 837-841 |
Number of pages | 5 |
Journal | Folia Ophthalmologica Japonica |
Volume | 56 |
Issue number | 10 |
Publication status | Published - Oct 2005 |
Keywords
- Binasal Hemianopsia
- Different from Fundus Appearance and Visual Field
- Empty Sella
- Glaucoma
ASJC Scopus subject areas
- Ophthalmology