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Year : 2013  |  Volume : 61  |  Issue : 7  |  Page : 351-353

Localized bi-nasal macular edema in optic chiasmal syndrome

1 Oftalmológica, San Miguel de Tucumán, Argentina
2 Stony Brook Medical Center, Stony Brook, NY, USA
3 Department of Ophthalmology, Hospital de León, León, Spain

Correspondence Address:
Taygan Yilmaz
Stony Brook Medical Center, Stony Brook, NY 11794
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0301-4738.97079

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A 28-year-old healthy male complaining of vision loss in his right eye was discovered to have localized bi-nasal macular edema in the presence of a pituitary adenoma. The presence of a junctional scotoma composed by a central scotoma in the right eye associated with superior temporal quadrantanopia in the fellow eye was seen. The pattern detected in the visual field suggested the presence of an expansive mass at the level of the optic chiasm. Optical coherence tomography findings also revealed subtle macular thickness beyond normal in the superior and nasal quadrants of both maculae. This report illustrates the importance of suspecting a pituitary adenoma in the light of uncharacteristic retinal alterations.

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