J.ophthalmol.(Ukraine).2019;1:73-77.

http://doi.org/10.31288/oftalmolzh201917377

Received: 22 January  2019; Published on-line: 28 November 2019 


Neuro-opthalmological aspect of chiasmal-and-sellar disorders

V.A. Vasyuta,1 Dr Sc (Med); Yu.E. Pedachenko,2 Dr Sc (Med), Ass Prof

1 Romodanov Neurosurgery Institute, National Academy of Medical Science of Ukraine; Kyiv (Ukraine)

2  Neurosurgery Department, Shupik National Medical Academy of Postgraduate Education;  Kyiv (Ukraine)

E-mail:  Vasyuta.v@ukr.net

 

This article reviews the causes, pathogenesis, and major manifestations of chiasmal syndrome. In addition, it reviews the methods for diagnosing the condition, and the course of the syndrome in patients with various chiasmal-and-sellar disorders such as pituitary adenoma, craniopharyngioma, tuberculum sellae meningioma, and skull base aneurysm. The principle neuro-ophthalmological symptoms include decreased visual acuity, bitemporal visual field defects, and development of descending optic nerve atrophy. Early detection of ophthalmological symptoms is of critical importance for timely neurosurgical treatment.

Keywords: chiasm, visual acuity, visual field, optic nerve

References

1.Mejico LJ, Miller NR, Dong LM. Clinical features associated with lesions other than pituitary adenoma in patients with an optic chiasmal syndrome. Am J Ophthalmol.  2004 May;137(5):908-13.

Crossref   PubMed

2.Miller NR, Newman NJ, Biousse V, Kerrison JB, editors. Walsh & Hoyt's clinical neuro-ophthalmology: the essentials. 2nd ed. Philadelphia: Lippincott Williams & Wilkins; 2008.

3.Wadud SA, Ahmed S, Choudhury N, Chowdhury D. Evaluation of ophthalmic manifestations in patients with intracranial tumours. Mymensingh Med J. 2014 Apr;23(2):268-71.

4.Blieden L, Foroozan R. Disorders of the optic chiasm. Expert Rev Ophthlmol. 2009 Dec;4(6):649-50.

Crossref  

5.Amini A, Digre K, Couldwell WT. Photophobia in a blind patient: An alternate visual pathway. Case report. J Neurosurg. 2006 Nov;105(5):765-8. 

Crossref   PubMed 

6.Astorga-Carballo A, Serna-Ojeda JC, Camargo-Suarez MF. Chiasmal syndrome: Clinical characteristics in patients attending an ophthalmological center. Saudi J Ophthal. 2017 Oct-Dec; 31(4): 229–33.

Crossref   PubMed   

7.Hagihara N, Abe T, Yoshioka F. Photophobia as the visual manifestation of chiasmal compression by unruptured anterior communicating artery aneurysm. Case report. Neurol Med Chir (Tokyo). 2009 Apr;49(4):159-61.

Crossref   PubMed 

8.Kawasaki A, Purvin VA. Photophobia as the presenting visual symptom of chiasmal compression. J Neuroophthalmol. 2002 Mar;22(1):3-8.

Crossref   PubMed  

9.Foroozan R. Chiasmal syndromes. Curr Opin Ophthalmol. 2003 Dec;14(6):325-31.

Crossref   PubMed  

10.Vellayan Mookan L, Thomas PA, Harwani AA. Traumatic chiasmal syndrome: A meta-analysis. Am J Ophthalmol Case Rep. 2018 Jan 11;9:119-123. 

Crossref   PubMed  

11.Schiefer U, Isbert M, Mikolaschek E, et al. Distribution of scotoma pattern related to chiasmal lesions with special reference to anterior junction syndrome. Graefes Arch Clin Exp Ophthalmol. 2004 Jun;242(6):468-77.

Crossref   PubMed   

12.Zhong Y, Shen X, Min Y, et al. The role of blue-on-yellow perimetry in patients with pituitary tumor. Ann Ophthalmol (Skokie). 2009 Spring;41(1):40-3.

13.Johansson C, Lindblom B. The role of optical coherence tomography in the detection of pituitary adenoma.  Acta Ophthalmol. 2009 Nov;87(7):776-9. 

Crossref   PubMed  

14.Tieger MG, Hedges TR 3rd, Ho J, et al.  Ganglion Cell Complex Loss in Chiasmal Compression by Brain Tumors. J Neuroophthalmol. 2017 Mar;37(1):7-12. 

Crossref   PubMed   

15.Menjot de Champfleur N, Menjot de Champfleur S, Galanaud D, et al. Imaging of the optic chiasm and retrochiasmal visual pathways. Diagn Interv Imaging. 2013 Oct;94(10):957-71. 

Crossref    PubMed   

16.Ogra S, Nichols AD, Stylli S, et al. Visual acuity and pattern of visual field loss at presentation in pituitary adenoma. J Clin Neurosci. 2014 May;21(5):735-40. 

Crossref   PubMed

17. Sowka JW, Luong B.  Bitemporal visual field defects mimicking chiasmal compression in eyes with tilted disc syndrome. Optometry. 2009 May;80(5):232-42. doi: 10.1016/j.optm.2008.11.005.

18.Trevino R. Chiasmal syndrome.  J Am Optom Assoc. 1995 Sep;66(9):559-75.

19.Sousa RM, Oyamada MK, Cunha LP, Monteiro MLR. Multifocal Visual Evoked Potential in Eyes With Temporal Hemianopia From Chiasmal Compression: Correlation With Standard Automated Perimetry and OCT Findings. Invest Ophthal Vis Sci. 2017 Sep 1;58(11):4436-4449. 

Crossref   PubMed  

20.Glisson CC. Visual loss due to optic chiasm and retrochiasmal visual pathway lesion. Continuum (Minneap Minn). 2014 Aug;20(4 Neuro-ophthalmology):907-21. 

Crossref   PubMed 

21.Masaya-anon P, Lorpattanakasem J.  Intracranial tumors affecting visual system: 5-year review in Prasat Neurological Institute. J Med Assoc Thai. 2008 Apr;91(4):515-9.

22.Rojas D, Palma A, Wohllk N. [Management of pituitary adenomas]. Rev Chil Neuro-psiquiatr. 2008;46(2): 140–7. Spanish.

Crossref 

23.Jacob M, Raverot G, Jouanneau E, et al. Predicting visual outcome after treatment of pituitary adenomas with optical coherence tomography. Am J Ophthalmol. 2009 Jan;147(1):64-70.e2. 

Crossref   PubMed  

24.Baglin G, Betermiez P, Bertout A, et al. [Pituitary apoplexy and severe bilateral visual loss: a case report]. J Fr Ophthalmol. 2009 Oct;32(8):572-6. French. 

Crossref   PubMed  

25.Foroozan R. Visual Findings in Chiasmal Syndromes. Int Ophthalmol Clin. 2016 Winter;56(1):1-27.

Crossref   PubMed  

26.Reyes KB, Goh KY, Gullen JF. Glare in a Case of a Craniopharyngioma. Neuroophthalmology. 2011 Mar 20;35(2):73-75. 

Crossref    PubMed   

27.Viswanathan A, Demonte F. Tumors of the meninges. Handb Clin Neurol. 2012;105:641-56. 

Crossref   PubMed  

28.Singh DK, Behari S, Jaiswal AK, et al. Pediatric anterior visual pathway gliomas: trends in fluid and electrolyte dynamics and their management nuances. Childs Nerv Syst. 2015 Mar;31(3):359-71. 

Crossref   PubMed 

29.Kim J, Nam TK, Park KS. An Unruptured Anterior Communicating Artery Aneurysm Presenting with Left Homonymous Hemianopsia: A Case Report. J Cerebrovas Endovas Neurosurg. 2017 Jun;19(2):92-95. 

Crossref   PubMed 

30.Tsutsumi S, Ono H, Yasumoto Y.Vascular Compression of the Anterior Optic Pathway: A Rare Occurrence? Can Assoc Radiol J. 2017 Nov;68(4):409-413. 

Crossref   PubMed  

31.Kawasaki A, Purvin VA. Idiopathic chiasmal neuritis: clinical features and prognosis. Arch Ophthalmol. 2009 Jan;127(1):76-81. 

Crossref   PubMed 

32.Danesh-Meyer HV, Wong A, Papchenko T, et al. Optical coherence tomography predict visual outcome for pituitary tumors. J Clin Neurosci. 2015 Jul;22(7):1098-104. 

Crossref   PubMed   

33.Loo JL, Tian J, Miller NR, Subramanian PS. Use of optical coherence tomography in predicting post-treatment visual outcome in anterior visual pathway meningiomas // Br J Ophthalmol. 2013 Nov;97(11):1455-8. 

Crossref   PubMed