Glaucomatous-Like Cupping Associated with Slow-Growing Supra-Sellar Intracranial Lesions

Abstract

Purpose: To demonstrate that slow-growing intracranial suprasellar mass lesions can be associated with optic disc cupping, clinically indistinguishable from glaucomatous optic neuropathy. Cases: At a neuro-ophthalmology tertiary clinic, a retrospective chart review identified four patients of presumed normal tension glaucoma and supra-sellar tumors. In all four patients with normal intraocular pressure, the appearance of the optic disc resembled typical glaucomatous optic nerve damage with disc cupping and parapapillary atrophy. Conclusion: In few patients, typical glaucomatous abnormalities of the optic nerve head may occur in association with slow-growing suprasellar tumors.

KEYWORDS:

• optic disc cupping
• glaucoma
• Supra-sellar tumor
• intracranial mass lesion
• optic nerve compression
• optic disc pallor