Details der Publikation - Glaucoma-like optic neuropathy in patients with intracranial tumours

Glaucoma-like optic neuropathy in patients with intracranial tumours / Yuanzhen Qu, Ya Xing Wang, Liang Xu, Liwei Zhang, Junting Zhang, Jianguo Zhang, Lina Wang, Liu Yang, Anchao Yang, Jian Wang and Jost B. Jonas

PURPOSE: To examine frequency and associated factors of glaucoma-like appearance of the optic nerve head in patients with intrasellar, suprasellar or parasellar tumours. - METHODS: This retrospective clinical observational study included patients who were consecutively treated for intrasellar tumours (n = 143), suprasellar tumours (n = 321), parasellar tumours (n = 36) or retrosellar tumour (n = 1), and all of whom had undergone fundus photography and full-threshold visual field examination. The tumour spectrum included 336 pituitary gland tumours, 32 meningiomas, 89 craniopharyngiomas, 9 chiasmal gliomas and 35 other types of tumours or lesions. An age-matched control group was formed from the population-based Beijing Eye Study. Using fundus photographs and visual field examinations, glaucoma was defined by a neuroretinal rim shape not following the ISNT rule (Disc glaucoma group) and by an abnormal rim shape plus glaucoma-like visual field defects (Field glaucoma group). Type and size of the tumours were assessed on neuroradiological images. - RESULTS: Five-hundred and one patients fulfilled the inclusion criteria. Disc glaucoma and Field glaucoma were detected significantly more frequently in the study population [34 (6.8%) patients and 31 (6.3%) patients, respectively] than in the population-based control group of the same ethnicity (1.3% ± 0.5%; p < 0.001). In multivariate analysis, presence of Disc glaucoma [odds ratio (OR) = 2.64; p = 0.016] and presence of Field glaucoma (OR = 3.01; p = 0.027) were significantly associated with tumour location [suprasellar > parasellar > intrasellar]. The same held true for tumour width (OR = 1.08; p = 0.002; and OR = 1.08; p = 0.003, respectively). - CONCLUSIONS: Large perisellar tumours were associated with a glaucoma-like appearance of the optic nerve head in eyes. It may diagnostically and pathogenetically be of importance..

Medienart:	E-Artikel

Erscheinungsjahr:	18 February 2011 2011
Erschienen:	18 February 2011

Enthalten in:	Zur Gesamtaufnahme - volume:89
Enthalten in:	Acta ophthalmologica - 89(2011), 5, Seite e428-e433

Sprache:	Englisch

Beteiligte Personen:	Qu, Yuanzhen [VerfasserIn] Wang, Ya Xing [VerfasserIn] Xu, Liang [VerfasserIn] Zhang, Liwei [VerfasserIn] Zhang, Junting [VerfasserIn] Zhang, Jianguo [VerfasserIn] Wang, Lina [VerfasserIn] Yang, Liu [VerfasserIn] Yang, Anchao [VerfasserIn] Wang, Jian [VerfasserIn] Jonas, Jost B., 1958- [VerfasserIn]

Links:	Volltext [lizenzpflichtig]

Themen:	Adenoma Adolescent Adult Aged Brain Neoplasms Child Child, Preschool Female Glaucoma Humans Intracranial Pressure Male Meningeal Neoplasms Meningioma Middle Aged Optic Disk Optic Nerve Diseases Pituitary Neoplasms Prevalence Retrospective Studies Sella Turcica Young Adult

Anmerkungen:	Gesehen am 23.01.2023

Umfang:	6

doi:	10.1111/j.1755-3768.2011.02118.x

funding:
Förderinstitution / Projekttitel:

PPN (Katalog-ID):	1831792664

Internformat


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Glaucoma-like optic neuropathy in patients with intracranial tumours / Yuanzhen Qu, Ya Xing Wang, Liang Xu, Liwei Zhang, Junting Zhang, Jianguo Zhang, Lina Wang, Liu Yang, Anchao Yang, Jian Wang and Jost B. Jonas

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