Glaucoma & Cataract, Prof. Eytan Blumenthal | Glaucomatous-Like Cupping Associated with Slow-Growing Supra-Sellar Intracranial Lesions

Glaucomatous-Like Cupping Associated with Slow-Growing Supra-Sellar Intracranial Lesions

Blumenthal EZ, Girkin CA, Dotan S.

Neuro-Ophthalmology. 2006;30:111-115.
Department of Ophthalmology, Hebrew University-Hadassah Medical Center, Jerusalem, Israel. eblumenthal@md.huji.ac.il

ABSTRACT:

PURPOSE: To demonstrate that slow-growing intracranial suprasellar mass lesions can be associated with optic disc cupping, clinically indistinguishable from glaucomatous optic neuropathy.

CASES: At a neuro-ophthalmology tertiary clinic, a retrospective chart review identified four patients of presumed
normal tension glaucoma and supra-sellar tumors. In all four patients with normal intraocular pressure, the appearance of the optic disc resembled typical glaucomatous optic nerve damage with disc cupping and parapapillary atrophy.

CONCLUSION: In few patients, typical glaucomatous abnormalities of the optic nerve head may occur in association with slow-growing suprasellar tumors.

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