뇌하수체선종과 연관된 만성중심성장액맥락망막병증 1예

• 영문명: A Case of Chronic Central Serous Chorioretinopathy Associated with Pituitary Adenoma
• 발행기관: 대한안과학회
• 저자명: 김기석 이승재 이원기,Ki Seok Kim, M.D., Seung Jae Lee, M.D., Won Ki Lee, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume47,number2, 323~327쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2006.02.28

영문 초록

Purpose: We report a case of long-standing bilateral chronic central serous chorioretinopathy associated with pituitary adenoma along with a review of the literature. Methods: A 42-year-old female had chronic central serous chorioretinopathy that did not improve for 6 months. To evaluate her endocrine state, we checked her serum cortisol level, and found it to be abnormally high. We then referred the patient to a physician. Results: The patient was diagnosed with Cushing`s syndrome due to pituitary adenoma. The tumor was removed by trans-sphenoidal surgical resection. One month after surgery, her serum cortisol level decreased to normal, her visual acuity improved and her fundus examination showed no abnormal findings. Conclusions: We propose that patients with chronic, recurrent central serous chorioretinopathy of unknown origin should undergo evaluation of their serum cortisol levels to determine if surgery is needed to treat a primary endocrine abnormality.

키워드

Central serous chorioretinopathy, Cortisol, Pituitary adenoma