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Vision & Pituitary Tumors Charles C. Lin, MD Clinical Assistant Professor, Stanford University.

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Presentation on theme: "Vision & Pituitary Tumors Charles C. Lin, MD Clinical Assistant Professor, Stanford University."— Presentation transcript:

1 Vision & Pituitary Tumors Charles C. Lin, MD Clinical Assistant Professor, Stanford University

2 Outline Common eye symptoms Anatomy Diagnosing eye involvement Vision after treatment

3 Common Eye Symptoms Blurry vision Double vision Misaligned eyes Eye pain / headache Colors appear washed out Droopy eyelid Pupil abnormality

4 Anatomy http://camelot.mssm.edu/~ygyu/research.html

5 http://moodle.rockyview.ab.ca/mod/book/view.php?id=58094&chapterid=20863

6

7 Visual Acuity http://www.1800myeyedoc.com/faqaboutus/

8 Pupil http://spinewave.co.nz/anisocoria/anisocoria/

9 Color Vision

10 Motility & Alignment http://02a53ed.netsolhost.com/eyedocksblog/tag/exotropia

11 Slit Lamp Exam

12 Fundus Exam http://www.caringfordiabetes.com/Screening-and-Diagnosis/MicroComplications/retinopathyscreening.cfm

13 http://www.eyedoctom.com/Eyefrmset.html

14

15 Visual Fields http://www.hindawi.com/crim/ophmed/2012/621872/fig4/ http://www.medrounds.org/glaucoma-guide/2006/08/section-6-d-peripheral-vision-visual.html

16 http://killinglyeyecare.com/technology/technology-glaucoma-management/humphrey-visual-field/

17

18 http://neurosurgery.ucla.edu/body.cfm?id=145

19 Vision after Treatment Predictive factors –Pre-operative vision* –Duration of symptoms Gnanalingham et al. J Neurol Neurosurg Psychiatry 2004.

20 Ongoing Research Delayed visual recovery Mechanism: remyelination or remodeling Optic nerve regeneration –Experimental –Stimulation of retinal ganglion cells –Reinnervation of target areas in brain Kerrison et al. Am J Ophthalmology 2000. Lima et al. PNAS 2012.

21 A Special Thanks to our Sponsors Barrow Neurological Institute Corcept Ipsen KARL STORZ Endoskope

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