Cerebral infarctions, pituitary adenoma and primary open angle glaucoma (fundus photography, FDT, HRT, MRI, DTI)
Brain and Optical PathwayMale, 69 years, atrial fibrillation, cerebral infarction 8 months ago, diagnosis of a pituitary adenoma 8 months ago, smoker. Eye diagnosis: OD/OS advanced glaucomatous optic atrophy on primary open angle glaucoma, cortical and nuclear cataract. Best corrected visual acuity: OD 1.0 and OS 1.0; IOP: OD 13 mmHg and OS 13 mmHg, Assessment: The severe glaucomatous optic atrophy conceals a probable local impairment of the visual field by the partial median infarction. The incidental finding of a pituitary gland adenoma without compression of the optic chiasm is suggested not to affect the visual pathway.
![](images/tree/file-image.png;jsessionid=ECAECCB1883416DDFB35A5D1E9AF725C) | microadenoma of the pituitary gland, MRI |
![](images/tree/file-image.png;jsessionid=ECAECCB1883416DDFB35A5D1E9AF725C) | microadenoma of the pituitary gland, MRI |
![](images/tree/file-image.png;jsessionid=ECAECCB1883416DDFB35A5D1E9AF725C) | OD: advanced glaucomatous optic atrophy in primary open angle glaucoma, fundus picture |
![](images/tree/file-image.png;jsessionid=ECAECCB1883416DDFB35A5D1E9AF725C) | OD: clearly reduced nerve fiber layer thickness, HRT |
![](images/tree/file-image.png;jsessionid=ECAECCB1883416DDFB35A5D1E9AF725C) | OS: advanced glaucomatous optic atrophy in primary open angle glaucoma, fundus picture |
![](images/tree/file-image.png;jsessionid=ECAECCB1883416DDFB35A5D1E9AF725C) | OS: clearly reduced retinal nerve fiber layer thickness, HRT |
![](images/tree/file-image.png;jsessionid=ECAECCB1883416DDFB35A5D1E9AF725C) | paracentrally impaired temporal-spatial contrast sensitivity, FDT |
![](images/tree/file-image.png;jsessionid=ECAECCB1883416DDFB35A5D1E9AF725C) | partial infarction in area of the right median artery, MRI |
![](images/tree/file-image.png;jsessionid=ECAECCB1883416DDFB35A5D1E9AF725C) | partial infarction in area of the right median artery, MRI |
![](images/tree/file-image.png;jsessionid=ECAECCB1883416DDFB35A5D1E9AF725C) | suspected damage to the optic radiation on both sides, DTI |
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