Neuro-ophthalmic disorders presenting as a diagnostic surprise during pre-LASIK evaluation.
We present 2 cases that came to our institute for refractive surgery and were discovered to have serious systemic conditions requiring immediate intervention. On examination, prolactinoma of the pituitary gland was seen in one patient and multiple sclerosis was diagnosed in the other patient. Prompt treatment of the conditions led to improvement in the neuro-ophthalmic disorders. We recommend a thorough physical evaluation of patients having an ophthalmic examination.
Shetty
Rohit
R
Department of Neuro-Ophthalmology and Refractive Surgery, Narayana Nethralaya, Bangalore, India. drrohitshetty@yahoo.com
Babu
Rajesh B
RB
Suresh
Mala
M
Samprathi
Arun B
AB
Shetty
Bhujang K
BK
D000328:Adult; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D008279:Magnetic Resonance Imaging; D008297:Male; D009103:Multiple Sclerosis / Q000175:diagnosis*; D009901:Optic Nerve Diseases / Q000175:diagnosis*; D010911:Pituitary Neoplasms / Q000175:diagnosis*; D011300:Preoperative Care; D015175:Prolactinoma / Q000175:diagnosis*; D014786:Vision Disorders / Q000175:diagnosis*; D014787:Vision Tests; D014794:Visual Fields