지주막낭종으로 인한 압박성 시신경 병증 1예

• 영문명: A Case of Suprasellar Arachnoid Cyst with Compressive Optic Neuropathy
• 발행기관: 대한안과학회
• 저자명: 박종호 설유리 최희영 이지웅,Jong Ho Park, MD, Eu Ri Seol, MD, Hee Young Choi, MD, PhD, Ji Woong Lee, MD
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume53,number10, 1532~1539쪽, 전체 8쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2012.10.15

영문 초록

Purpose: To report a case of suprasellar arachnoid cyst with compressive optic neuropathy. Case summary: A 50-year-old man presented with decreased visual acuity in the right eye of 6 months duration. Best corrected visual acuity was 0.2 in the right eye, 1.0 in the left eye, and the intraocular pressure was 13 mm Hg in the right eye, and 18 mm Hg in the left eye. Fundus examination showed pale optic disc in the right eye and retinal nerve fiber layer defects in both eyes. Visual field examination revealed a central visual field of 10° in the right eye and an inferior visual field defect in the left eye. The brain magnetic resonance image (MRI) showed a suprasellar arachnoid cyst that compressing the optic nerve and chiasm. Conclusions: The author experienced arachnoid cyst accompanied by optic disc atrophy and visual field defect in a patient diagnosed and treated for glaucoma. In cases of non-specific clinical features that differ from typical glaucomatous presentations, the utilization of brain MRI appears to be helpful in diagnosis and treatment. J Korean Ophthalmol Soc 2012;53(10):1532-1539

키워드

Arachnoid cyst, Compressive optic neuropathy, Normal tension glaucoma