Authors
Telelyasova M.A., Ukina A.O.
Gatchina Clinical Interdistrict Hospital, Gatchina, Russia
Abstract
The article outlines a diagnostic investigation following phacoemulsification of early age-related cataract in patients who exhibited no improvement in best-corrected visual acuity and reported “floating spots” in the postoperative period. Optical coherence tomography of the optic disc showed a lesion in the peripapillary nerve fiber layer, symmetrically located on the temporal side of both eyes. Computer perimetry revealed bitemporal hemianopsia. Neuroimaging (MRI with intravenous contrast) confirmed the presence of a lesion in the chiasmatic-sellar region. In this article, we present a variant of postoperative management and additional examination of a patient as an example of differential diagnostic search for a possible non-ophthalmological cause of decreased visual acuity. It demonstrates the importance of an interdisciplinary approach as a key to early diagnosis of brain tumors.
Keywords: phacoemulsification, bitemporal hemianopsia, brain neoplasms, optic chiasm, case report.
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