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Tablets at the bedside - iPad-based visual field test used in the diagnosis of Intrasellar Haemangiopericytoma: a case report


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Type

Article

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Authors

Nesaratnam, N 
Thomas, PBM 
Kirollos, R 
Vingrys, AJ 
Kong, GYX 

Abstract

BACKGROUND: In the assessment of a pituitary mass, objective visual field testing represents a valuable means of evaluating mass effect, and thus in deciding whether surgical management is warranted. CASE PRESENTATION: In this vignette, we describe a 73 year-old lady who presented with a three-week history of frontal headache, and 'blurriness' in the left side of her vision, due to a WHO grade III anaplastic haemangiopericytoma compressing the optic chiasm. We report how timely investigations, including an iPad-based visual field test (Melbourne Rapid Field, (MRF)) conducted at the bedside aided swift and appropriate management of the patient. CONCLUSIONS: We envisage such a test having a role in assessing bed-bound patients in hospital where access to formal visual field testing is difficult, or indeed in rapid testing of visual fields at the bedside to screen for post-operative complications, such as haematoma.

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Keywords

Bitemporal hemianopia, Case report, Intrasellar haemangiopericytoma, Melbourne rapid field (MRF), Translational technology

Journal Title

BMC Ophthalmology

Conference Name

Journal ISSN

1471-2415
1471-2415

Volume Title

17

Publisher

BioMed Central