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Importance of Visual Field Tests of Patients with Pituitary Adenoma During Pregnancy and Post-Partum Lactation

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Sixth International Visual Field Symposium

Part of the book series: Documenta Ophthalmologica Proceedings Series ((DOPS,volume 42))

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Abstract

Visual fields of 20 patients with radiological evidence of pituitary adenoma were measured monthly or bimonthly by Goldmann perimeter during pregnancy and post-pregnancy lactation period. Amonorrhoea was treated with administration of bromocriptine and/or Hardy’s operation (4 patients). The appearance and enlargement of the visual field defects during the period were found to occur more frequently (8/20 cases; 40%, including minor changes) than in previous reports. Visual acuity was not affected. The visual field test is safer than radiological tests for the pregnant patients and more sensitive to adenoma growth. Pregnancy-associated visual field defects induced in patients with pituitary adenoma subsided when bromocriptine was administrated or following delivery. In some cases, post-delivery lactation delayed recovery of visual field defects.

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References

  1. Badawy, S.Z.A., Nusbaum, M.L. and Omar, M. Hypothalamic-pituitary evaluation in patients with galactorrhea-amenorrhea and hyperprolactinemia. Obsterics & Gynecol. 55:1–7 (1980).

    CAS  Google Scholar 

  2. Bergh, T., Nillius, S.J. and Wide, L. Clinical course and outcome of pregnancies in amenorrhoeic women with hyperprolactinaemia and pituitary tumours. Brit. Med. J. 1: 875–880 (1978).

    Article  PubMed  CAS  Google Scholar 

  3. Child, D.F., Gordon, H. and Mashiter, K. et al. Pregnancy, prolactin, and pituitary tumours. Brit. Med. J. II: 87–89 (1975).

    Article  Google Scholar 

  4. Corenblum, B. Successful outcome of ergocryptine-induced pregnancies in twenty-one women with prolactin-secreting pituitary adenomas. Fertility and Sterility 32: 183–186 (1979).

    PubMed  CAS  Google Scholar 

  5. Gemzell, C. Induction of ovulation in infertile women with pituitary tumors. Am. J. Gynecol. 121: 311–315 (1975).

    CAS  Google Scholar 

  6. Hardy, J. Transsphenoidal surgery of hyper secreting pituitary tumors, in Kohler, P.O. and Ross, G.T. eds.: Diagnosis and treatment of pituitary tumors. International Congress Series 303. 179–194, Excepta Medica, Amsterdam (1973)

    Google Scholar 

  7. Jewelewicz, R. and Vande Wiele, R.L. Clinical course and outcome of pregnancy in twenty-five patients with pituitary microadenomas. Am. J. Obstet. Gynecol. 136: 339–343 (1980).

    PubMed  CAS  Google Scholar 

  8. Lamberts, S.W.J., Seldenrath, H.J., Kwa, H.G. et al. Transient bitemporal hemianopsia during pregnancy after treatment of galactorrhea-amenorrhea syndrome with bromocriptine. J. Clin. Endocrinol, and Metab. 44: 180–184 (1977).

    Article  CAS  Google Scholar 

  9. Magyer, D.M. & Marshall, J.R. Pituitary tumors and pregnancy. Am. J. Obstet. Gynecol. 132: 739–751 (1978).

    Google Scholar 

  10. March, C.M., Kletzky, O.A. and Davajan, V. et al. Longitudinal evaluation of patients with untreated prolactin-secreting pituitary adenomas. Am. J. Obstet. Gynecol. 139: 835–844 (1981).

    PubMed  CAS  Google Scholar 

  11. Spark, R.F., Baker, R. and Bienfang, D.C. et al. Bromocriptine reduces pituitary tumor size and hypersecretion. JAMA 247: 311–316 (1982).

    Article  PubMed  CAS  Google Scholar 

  12. Speroff, L., Levin, R.M. and Haning, Jr. R.V. et al. A practical approach for the evaluation of women with abnormal poly tomography of elevated,prolactin levels. Am. J. Obstet. Gynecol. 135: 896–906 (1979).

    PubMed  CAS  Google Scholar 

  13. Swyer, G.I.M., Little, V. and Harries, B.J. Visual disturbance in pregnancy after induction of avulation. Brit. Med. J. 4: 90–91 (1971).

    Article  PubMed  CAS  Google Scholar 

  14. Thorner, M.O., Edwards, C.R.W. and Charlesworth, M. et al. Pregnancy in patients presenting with hyperprolactinaemia. Brit, Med. J. II: 771–774 (1979).

    Article  Google Scholar 

  15. Van Roon, E., Van der Vijver, J.C.M. and Gerretsen, G. et al. Rapid regression of suprasellar extending prolactinoma after bromocriptine treatment during pregnancy. Fertility and Sterility 36: 173–177 (1981).

    PubMed  Google Scholar 

  16. Was, J.A., Williams, J. and Charlesworth, M. et al. Bromocriptine in management of large pituitary tumors. Brit. Med. J. 284: 1908–1911 (1982).

    Article  Google Scholar 

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A. Heijl E. L. Greve

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© 1985 Dr. W. Junk Publishers, Dordrecht

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Honda, Y., Takahashi, A. (1985). Importance of Visual Field Tests of Patients with Pituitary Adenoma During Pregnancy and Post-Partum Lactation. In: Heijl, A., Greve, E.L. (eds) Sixth International Visual Field Symposium. Documenta Ophthalmologica Proceedings Series, vol 42. Springer, Dordrecht. https://doi.org/10.1007/978-94-009-5512-7_34

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  • DOI: https://doi.org/10.1007/978-94-009-5512-7_34

  • Publisher Name: Springer, Dordrecht

  • Print ISBN: 978-94-010-8932-6

  • Online ISBN: 978-94-009-5512-7

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