Secondary Logo

Institutional members access full text with Ovid®

Share this article on:

Functional Pituitary Tumors Masquerading as Primary Glaucoma and Effect of Hypophysectomy on Intraocular Tension

Gupta, Shikha MD; Sihota, Ramanjit MD; Gupta, Viney MD; Dada, Tanuj MD; Gogia, Varun MD; Sharma, Ajay BSc

doi: 10.1097/IJG.0b013e31829521f2
Online Articles: Case Reports

We report 2 bilateral cases that presented as primary ocular hypertension and primary angle-closure glaucoma, respectively; however, they were subsequently discovered to be harboring secretory pituitary tumors. After transsphenoidal tumor resection, intraocular pressures (IOPs) in all 4 eyes returned to normal levels. Sudden rise in IOP then again served as a primary manifestation of relapse in the second patient with growth hormone secreting pituitary tumor. It was not found feasible for resurgery; thus, patient needed trabeculectomy in both eyes to achieve an optimum control of intraocular tension. We conclude that pituitary adenomas may mimic primary glaucoma without producing vertical hemianopia and cause a reversible rise in IOP. Furthermore, a careful ongoing expert ophthalmologic assessment may serve as a useful clinical marker for early relapse in these tumors.

Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Disclosure: The authors declare no conflict of interest.

Reprints: Shikha Gupta, MD, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi 110029, India (e-mail: dr.shikhagupta84@gmail.com).

Received September 21, 2012

Accepted March 4, 2013

Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.