视交叉部转移癌1例

• 作 者: 张洋 石树敏
• 机 构: 中国医科大学附属第一医院眼科,中国医科大学附属第一医院眼科
• 出 处: 实用眼科杂志
• 发表日期: 1990年11期
• 关键词: 视交叉 垂体肿瘤 视功能障碍 转移性肿瘤 血管性病变 视力 眼科检查 无光感 球后视神经炎 内分泌功能紊乱

视交叉部病变引起视功能障碍的常见原因为垂体肿瘤及附近的血管性病变。转移性肿瘤引起视交叉病变导致祝功能严重受损并初诊于眼科十分罕见,现报告一例如下。齐××男49岁右眼进行性视力下降伴头部胀痛一个月。曾诊断“球后视神经炎”等,药物治疗无效,视力继续下降,就诊时已无光感。近一周声音嘶哑,咳嗽,咯痰,痰中偶有鲜血丝。平素身体健康,无内分泌功能紊乱征象。眼科检查:视力右眼无

Optical chiasm lesions caused by visual dysfunction is a common cause of pituitary tumors and nearby vascular lesions. Metastatic tumors caused by optic chiasm lesions lead to serious impairment of function and newly diagnosed in ophthalmology is very rare, a report is as follows. Qi × × male 49-year-old right eye progressive visual decline with head pain for a month. Had diagnosed “ball optic neuritis” and so on, drug treatment is invalid, visual acuity continued to decline, no light feeling at the time of treatment. Nearly a week of hoarse voice, cough, expectoration, sputum occasional bloodshot eyes. Normal physical health, no endocrine disorders signs. Eye examination: visual acuity without eye