Chiasmal syndrome: clinical features
Evidence-based neurology checklist on chiasmal syndrome: clinical features: Visual symptoms Blurred vision Visual obscurations without papilloedema Photophobia Difficulty with near tasks Phosphenes Glare Visual hallucinations Reduced visual acuity Sudden visual loss Visual field defects Pupillary…
Visual symptoms
- Blurred vision
- Visual obscurations without papilloedema
- Photophobia
- Difficulty with near tasks
- Phosphenes
- Glare
- Visual hallucinations
- Reduced visual acuity
- Sudden visual loss
Visual field defects
Pupillary features
Optic nerve features
Other features
Differential diagnosis: other causes of bitemporal hemianopia
Red flags against a pituitary adenoma cause
References
- Astorga-Carballo A, Serna-Ojeda JC, Camargo-Suarez MF. Chiasmal syndrome: clinical characteristics in patients attending an ophthalmological center. Saudi J Ophthalmol 2017; 31:229-233.
- Wadud S.A., Ahmed S., Choudhury N., Chowdhury D. Evaluation of ophthalmic manifestations in patients with intracranial tumours. Mymensingh Med J; 2014; 23:268-271.
- Jefferis JM, Innes WA, Hickman SJ. The presenting visual symptoms of optic chiasmal disease. Eur J Ophthalmol 2023; 33:9-20.
- Ryden NA, Lam H, Judge C, Venteicher AS, Lee MS. Transient visual obscurations without papilloedema as the heralding symptom of chiasmal compression. Neuroophthalmology 2022; 47:106-109.
- Kawasaki A, Purvin VA. Photophobia as the presenting visual symptom of chiasmal compression. J Neuroophthalmol 2002; 22:3-8.
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