Dallas, TX
A 45-year-old female asked:
When you have scotoma develop in one eye only and the patient has a pituitary adenoma, takes plaquenil, (hydroxychloroquine) and has ischemic microvascular disease, can you tell which one most likely caused the scotoma?
3 doctor answers • 8 doctors weighed in
Dr. Bruce Sarananswered
Ophthalmology 35 years experience
Ischemia. : Monocular ischemia most likely causes shots a in one eye. Plaquenil (hydroxychloroquine) and pituitary adenoma causes symmetrical bilateral schotoma.
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5.1k viewsReviewed >2 years ago
Dr. William Dieckanswered
Ophthalmology 40 years experience
Depends on VF defect: Plaquinil and ischmic optic nerve disease may produce similar visual field defects, however, examination should be able to differentiate the two. Pituitary field defects are quite different. A differentiation should be able to be ascertained.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
Dr. Alan Jacksonanswered
Addiction Medicine 32 years experience
Exam will help: Only with an exam can one pin down the etiology of the scotomama . The appearance of the optic nerve will help determine the cause. More than likely though it is not caused by the pituitary adenoida.
Created for people with ongoing healthcare needs but benefits everyone.
5.1k viewsReviewed >2 years ago
Last updated Sep 8, 2017
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