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患者男46岁左眼视物不清2个月,偶有头痛,乏力。于91年11月24日就诊。左眼视力为0.4,眼前节无异常。视盘边界清晰,色正常。黄斑区颞上方可见一陈旧黄白色灶。视网膜血管正常。VEP 检查:107.4ms 波幅降低。Goldman 视野检查可见比较性暗点。荧光血管造影无异常改变。入院诊断:左眼球后视神经炎。入院后经用氢考,胞二磷胆碱及球后注射,治疗1周后,视力无增进。行磁共振检查提示为垂体瘤(肿瘤直径2.0×3.0(m),转神经外科治疗。
46-year-old male patient left eye visual unclear 2 months, occasional headache, fatigue. On November 24, 1991 visit. Left eye visual acuity of 0.4, anterior segment without exception. Disc boundaries clear, normal color. Macular area above the temporal visible yellow old white stove. Retinal blood vessels are normal. VEP check: 107.4ms amplitude decreases. Goldman visual field examination shows comparative dark spots. Fluorescent angiography no abnormal changes. Admission diagnosis: left eye retrobulbar neuritis. After admission by hydrogen test, citicoline and ball injection, after 1 week of treatment, no improvement of visual acuity. Magnetic resonance imaging showed pituitary tumor (tumor diameter 2.0 × 3.0 (m), neurosurgical treatment.