title: Photophobia as the presenting visual symptom of chiasmal compression.
abstract: Five patients with a chief visual complaint of photophobia were subsequently found to have compressive lesions of the optic chiasm. Visual acuity and visual field deficits were often subtle. Magnetic resonance imaging scanning revealed large suprasellar masses, including three pituitary adenomas, a craniopharyngioma, and a clivus chordoma. Photophobia resolved in all patients following treatment of the tumors. A compressive lesion of the optic chiasm should be considered in patients who experience persistent photophobia unexplained by ocular abnormalities.
authors.affiliation: Hopital Ophtalmique Jules Gonin, Lausanne, Switzerland.
authors.forename: Aki
authors.initials: A
authors.lastname: Kawasaki
authors.forename: Valerie A
authors.initials: VA
authors.lastname: Purvin
mesh_terms: D000236:Adenoma / Q000175:diagnosis / Q000601:surgery; D000328:Adult; D002817:Chordoma / Q000175:diagnosis / Q000601:surgery; D003397:Craniopharyngioma / Q000175:diagnosis / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009408:Nerve Compression Syndromes / Q000175:diagnosis*; D009897:Optic Chiasm / Q000473:pathology*; D020795:Photophobia / Q000175:diagnosis*; D010911:Pituitary Neoplasms / Q000175:diagnosis* / Q000601:surgery; D019292:Skull Base Neoplasms / Q000175:diagnosis* / Q000601:surgery; D014792:Visual Acuity; D058609:Visual Field Tests; D014794:Visual Fields; D014795:Visual Pathways / Q000473:pathology