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Visual Field Defects
- Bitemporal Hemianopsia
- Heteronymous hemianopia can lead to the so-called ‘hemifield slide phenomenon’
- Deficits begin at mark I/2 (Goldmann), i.e., in the inner 30° of the visual field; these deficits should also be visible in a Octopus G2 visual field
Follow-ups
- Postoperatively (or in the case of prolactinoma after starting Dostinex (cabergoline) therapy), initially perform follow-ups every 3 months; if the findings are stable, then extend to every 6 months
- Depending on whether a tumor residue exists and how close it is to the chiasma -> keep follow-ups at 6-month intervals or extend to annually
- Follow-ups should not be less frequent than annually, as the purpose of the follow-ups is the early detection of a recurrence
- In the case of prolactinoma + pregnancy (Dostinex (cabergoline) discontinued) -> monthly follow-ups or more if needed (tumor can grow rapidly!)
Sources
- EyeWiki Pituitary Adenoma
- The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease; Nika Bagheri MD, Brynn Wajda MD, et al; Lippincott Williams&Wilkins; 7th Edition (2016)
- Kanski’s Clinical Ophthalmology: A Systematic Approach; Jack J. Kanski MD, Brad Bowling MD; Saunders Ltd.; 8th Edition (2015)