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NR 7-9/2005
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Znaczenie badań
okulistycznych w wykrywaniu neuropatii nerwu wzrokowego
towarzyszącej guzom przysadki mózgowej
Ophthalmological tests value
in detection of the optic neuropathy associated with pituitary
tumours
Anna Piekarska1, Wojciech
Lubiński1, Olgierd Palacz1, Wiesława
Wieliczko4,
Sławomir Pynka2, Zbigniew Szych3, Danuta
Karczewicz1
1Z Katedry i Kliniki Okulistyki Pomorskiej Akademii
Medycznej w Szczecinie
Kierownik: prof. dr hab. n. med. Danuta Karczewicz
2Z Kliniki Endokrynologii, Nadciśnienia Tętniczego i
Chorób Przemiany Materii Pomorskiej Akademii Medycznej w
Szczecinie
Kierownik: prof. dr hab. n. med. Krystyna Pilarska
3Z Zakładu Higieny i Epidemiologii Pomorskiej
Akademii Medycznej w Szczecinie
Kierownik: dr hab. n. med. Alicja Walczak
4Z Wojewódzkiej Poradni Endokrynologicznej w
Szczecinie
Kierownik: dr n. med. Wiesława Wieliczko |
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| Summary: |
Purpose: To
evaluate the value of ophthalmological tests in
detection of the optic neuropathy associated with
pituitary tumours.
Material and methods: 38 patients with pituitary
tumours in 21–73 years old, were examined. Routine
ophthalmological examination, kinetic and static
perimetry (screening test, „white-on-white” and „blue-on-yellow”)
and PVEP were performed.
Results: In patients with recurrent tumours (group
II) more changes was observed in routine
ophthalmological examination, perimetry and PVEP
compared to patients with early detected pituitary
tumours (group I). No patient of group I present changes
in routine ophthalmological examination, but they had
visual field defects and/or abnormal PVEP. In group I in
Ps B-Y more visual field defects was detected than in
kinetic perimetry (p<0.025). In the same group hemifield
PVEP was more often abnormal than full-field PVEP
(p<0.01). In group II similar differences were not
observed.
Conclusions: In patients with pituitary tumours
the most useful test in the optic neuropathy diagnosis
are „blue-on-yellow” static perimetry and hemifield PVEP. |
| Słowa kluczowe: |
guzy przysadki, perymetria,
wzrokowe potencjały wywołane. |
| Key words: |
pituitary tumours,
perimetry, visual evoked potentials. |
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