Abstract The loss of visual field is a common sign of acromegaly, and if such loss is progressive, it is frequently considered an indication for definitive therapy in the form of radiation to or surgical extirpation of the offending pituitary adenoma.1,2 Hence, recognition of all factors producing a visual deficit is of importance in the management of these patients. For this reason, a study of the ocular findings in a group of patients with acromegaly was undertaken, with particular reference to the occurrence of glaucoma. In a recent review of 100 patients with acromegaly, it was reported that visual disturbances had occurred in 39.1 Most commonly, these disturbances were bitemporal field defects, and in the most severe cases there was also optic atrophy. There was no mention of the intraocular pressure in any of these patients. The sella turcica was of normal size in 24 of the 100, yet References 1. The patient developed cerebral mucormycosis. 2. Gordon, D. A.; Hill, F. M.; and Ezrin, C.: Acromegaly: Review of 100 Cases , Canad Med Assoc J 87:1106-1109 ( (Nov 24) ) 1962. 3. Williams, R. H.: Textbook of Endocrinology , ed 3, Philadelphia: W. B. Saunders Co., 1962, pp 71-74. 4. Pangaro, J.: Personal communication to the authors. 5. Donaldson, D. D.: Personal communication to the authors. 6. Packer, H., et al: Frequency of Glaucoma in Three Population Groups , JAMA 188:123-127 ( (April 13) ), 1964.Crossref 7. Posner, A., and Fogland, W. G.: Mass Screening for Glaucoma: Critical Review of Methods Now in Use , Eye Ear Nose Throat Monthly 43:53-61 ( (June) ), 1964. 8. Ferry, Andrew P.: Cerebral Mucormycosis (Phycomycosis) , Survey Ophthal 6:1-24 ( (Feb) ), 1961. 9. van Bijsterveld, O. P., and Richards, R. D.: Pituitary Tumors and Intraocular Pressure , Amer J Ophthal 57:267-269 ( (Feb) ), 1964 10. Leydhecker, W.: Glaucom, ein Handbuch . Berlin: Springer-Verlag, 1960, pp 91-93. 11. von Sallmann, L., and Lowenstein, O.: Responses of Intraocular Pressure, Blood Pressure, and Cutaneous Vessels to Electric Stimulation in the Diencephalon , Amer J Ophthal 39:11-29 (April, (pt 2) ), 1955. 12. von Sallmann, L., et al: Some Mechanisms of Centrally Induced Eye Pressure Responses , Amer J Ophthal 42:130-147 (Oct (pt 2) ), 1956. 13. Zimmerman, L. E.: Personal communication to the authors. 14. Howard, G. M.: Angioid Streaks in Acromegaly , Am J Ophthal 56:137-139 ( (July) ), 1963.
Archives of Ophthalmology – American Medical Association
Published: Jun 1, 1965
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