Pituitary Adenoma: Assessment of Modern Means of Neuro-Ophthalmological Subjective Investigation

Abstract

The authors tested contrast sensitivity function (C.S.) in a series of 81 patients with pituitary adenoma. In the first part of the study, they compared C.S. with visual acuity (V.A.), desaturated panel D-15 (D-15), automatic static perimetry (A.P). When C.S. was abnormal, there was a high probability of finding an abnormal V.A. and an abnormal D-15. The C.S. attenuation was associated with a change of A.P. when the whole visual field was considered. The authors tried to determine whether the addition of C.S. to the other classical means of visual investigations was useful for the diagnosis. For microadenomas, the best association was A.P.-C.S., the second best association A.P.-D-1S. For macroadenomas, the best association was always A.P.-C.S., the second best was Goldmann-C.S.

Key Words:

• pituitary adenoma
• contrast sensitivity
• colour vision test
• automated static perimetry
• Goldmann perimeter