[Hypophysial macroadenoma revealed by clinical symptoms simulating chronic glaucoma].
BACKGROUND
A large optic cup is a sign of glaucoma, although it has been reported in other optic neuropathies, particularly in compressive neuropathies.


METHODS
A 37-year-old man presented with a decrease in visual acuity for 2 months. Fundus biomicroscopic examination revealed a glaucoma-like bilateral and asymmetric large optic cup. Neuroradiological examination revealed an expansive mass in the sella turcica that was compressing the optic tract.


CONCLUSIONS
Optic nerve compression can lead to perimetric alterations and optic disc anomalies such as those seen in normal-tension glaucoma. Age under 50 years, visual loss, and neuroretinal rim pallor may lead to a suspicion of compressive neuropathy.
El Fekih
L
L
Service d'ophtalmologie, Hôpital des Forces de Sécurité Interne, La Marsa, Tunis, Tunisie.
Hmaied
W
W
Moalla
S
S
El Hif
S
S
Kchaou
I
I
Abid
M
M
Sakka
S
S
Darmoul
M
M
Bouhaouala
M
M
D000236:Adenoma / Q000175:diagnosis*; D000328:Adult; D003937:Diagnosis, Differential; D005901:Glaucoma / Q000209:etiology*; D006801:Humans; D008297:Male; D010911:Pituitary Neoplasms / Q000175:diagnosis*; D012658:Sella Turcica / Q000473:pathology*