目的:通过分析青光眼的中心视野、周边视野以及头颅影像学检查结果,诊断早期垂体腺瘤。方法:回顾分析7例原发性青光眼合并早期垂体腺瘤的临床资料。原发性青光眼中,2例为急性闭角型,1例为慢性闭角型,4例为开角型。患者均行中心及周边视野、头颅X射线平片、电子计算机X射线断层扫描(CT)或者核磁共振成像(MRI)检查。结果:除了青光眼性视野改变,所有患者均有颞上象限不同程度的视野缺损,进而做头颅影像学检查,发现了垂体腺瘤。结论:青光眼与垂体腺瘤均可有视野的损害,前者的改变早期位于中心,而后者可以位于周边。建议对青光眼患者的视野检查范围应包括中心及周边,如果周边视野有象限性缺损,须行头颅X射线平片、CT或者MRI检查,以防漏诊、误诊垂体腺瘤。

·AIM:To diagnose early pituitary adenoma by analyzing central visual field,peripheral visual field and head iconography in glaucoma.·METHODS:Seven cases of primary glaucoma with early pituitary adenoma,acute angle-closure glaucoma in 2 cases,chronic angle-closure glaucoma in 1 case and open angle glaucoma in 4 cases were retrospectively analyzed.Visual field of central and peripheral area,X-ray photograph of the head,computed tomography(CT)or magnetic resonance imaging(MRI)of the head were performed in all cases.·RESULTS:Beyond glaucomatous scotoma,supratemporal quadrant visual field defect was found in all cases and pituitary adenoma was revealed by the head iconography.·CONCLUSION:Visual field impairment may occur in both glaucoma and pituitary adenoma.At the early stage,the impairment locates at central area in the former while at peripheral area in the latter.The visual field on central and peripheral area should be checked in glaucoma patient to avoid the missed diagnosis or misdiagnosis of pituitary adenoma.·