Neuro-ophthalmic disorders presenting as a diagnostic surprise during pre-LASIK evaluation

J Cataract Refract Surg. 2007 Sep;33(9):1653-6. doi: 10.1016/j.jcrs.2007.05.017.

Abstract

We present 2 cases that came to our institute for refractive surgery and were discovered to have serious systemic conditions requiring immediate intervention. On examination, prolactinoma of the pituitary gland was seen in one patient and multiple sclerosis was diagnosed in the other patient. Prompt treatment of the conditions led to improvement in the neuro-ophthalmic disorders. We recommend a thorough physical evaluation of patients having an ophthalmic examination.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Keratomileusis, Laser In Situ*
  • Magnetic Resonance Imaging
  • Male
  • Multiple Sclerosis / diagnosis*
  • Optic Nerve Diseases / diagnosis*
  • Pituitary Neoplasms / diagnosis*
  • Preoperative Care
  • Prolactinoma / diagnosis*
  • Vision Disorders / diagnosis*
  • Vision Tests
  • Visual Fields