A young woman comes in today, complaining of fatigue, irregular menses, and polyuria which have gradually increased over the past few months. Which eye findings would be consistent with her condition?
A) An upper quadrantanopsia
B) A lower quadrantanopsia
C) A bitemporal hemianopsia
D) An increased cup-to-disc ratio
C) A bitemporal hemianopsia
These symptoms are consistent with a pituitary lesion. Enlargement of a tumor in this area would compress the fibers responsible for the lateral visual fields. A quadrantanopsia would usually be caused by a lesion in the optic radiations in the parietal lobe of the cerebrum. Glaucoma would cause a narrowing of the entire visual field, not just the lateral aspects.
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