Sujan AF, Rezaeian E, Azita AT*, Rozita I, Muhaya M
To report a case of pituitary macroadenoma presented with junctional scotoma which rapidly progress to bitemporal hemianopia.
Cases & Results
A 38 year-old lady, presented with one-month history of decrease both sided vision and visual field defect associated with irregular menstruation. On presentation, she had junctional scotoma, which rapidly progress to bitemporal hemianopia in one-month duration. Her funduscopy showed bilateral temporal optic disc pallor with bow tie optic disc appearance. Radiological investigation disclosed a giant pituitary macroadenoma with suprasellar extension causing optic chiasma compression. She finally recovered well with resumption of normal vision and full visual field, six weeks following tumor excision via the transsphenoidal approach.
Rezaeian E, Kok HS, Sanmugarajah P. Zurin A.
Objective: to present a rare case of isolated left third cranial nerve palsy
Methods: case report
Results: A 46-year-old Chinese man presented with sudden onset of frontal headache associated with left ptosis and diplopia without any eye pain or blurring of vision. He has history of diabetes mellitus and hypertension no any history of fever, URTI, cough, fits, earache, nausea and vomiting. No focal or generalized limb weakness, no speech or auditory disturbances.
In examination GCS was 15/15, BCVA 6/6 both eyes. No reverse RAPD, good red reflex in both eyes but there was evidence of anisocoria (right pupil 2 mm vs. left pupil 5 mm), left ptosis and present of double vision in all gazes, there were evidence of limitation in left extraocular movement in the elevation, depression and adduction positions. funduscopy showed mild NPDR.
CT scan and MRI of brain showed sellar round heterogenously hyperintense T1 and T2 enhancing lesion with minimal peripheral enhancement. The tumor obviously abutted the intracaverneous portion of the left ICA at the medical aspect. MRA and all blood investigation were unremarkable. The patient went under craniotomy and tumor excision, and pathology results intrasella craniopharyngioma.
Rezaeian E , Sunder R , Kok H.S
Objective: To compare biometric changes of anterior chamber depth and intraocular pressure after cataract operation by phacoemulsification and posterior chamber intraocular lens implantation between Malay and Chinese population with senile cataract.
Methodology: 50 Malay and 50 Chinese eyes that fulfilled the inclusion criteria were enrolled to the study.
Results: Intraocular pressure before operation was varies from 10 to 22 with the mean of 15.91 (sd=2.53) and it reduced after operation to 13.0(sd=2.06) in total population (p. value < 0.0001), it is reduced from 15.96 (sd=2.49) to 12.96 (sd=1.88) in Chinese patients which indicate 18.8% reduction compare to baseline reading and from 15.86(sd=2.58) to 13.04(2.24) in Malay population (17.78% reduction compare to baseline IOP).
Before operation anterior chamber depth (ACD) in total population was varies from 2.1 - 4.22 mm by mean of 3.03 mm (sd = 0.43) however it was increased to 3.86 mm (sd = 0.43) after operation (27.4% excess compare to baseline) (P. Value < 0.0001). ACD changes was more in Chinese group which was increased from 2.92 mm to 3.82 mm after cataract operation (30.82%) in compare to Malay group in which increased from 3.13 mm to 3.91 mm (24.92%) after cataract operation. the changes of ACD after cataract operation statistically were extremely significant (P. value < 0.0001).
Dr Rezaeian Es.