Glaucomatous-Like Cupping Associated with Slow-Growing Supra-Sellar Intracranial Lesions

Shlomo Dotan, MD Department of Ophthalmology, Hebrew University Hadassah Medical Center, Jerusalem, Israel ABSTRACT Purpose: To demonstrate that slow-growing intracranial suprasellar mass lesions can be associated with optic disc cupping, clinically indistinguishable from glaucomatous optic neuropathy. Cases: At a neuro-ophthalmology tertiary clinic, a retrospective chart review identified four patients of presumed normal tension glaucoma and supra-sellar tumors. In all four patients with normal intraocular pressure, the appearance of the optic disc resembled typical glaucomatous optic nerve damage with disc cupping and parapapillary atrophy. Conclusion: In few patients, typical glaucomatous abnormalities of the optic nerve head may occur in association with slow-growing suprasellar tumors.