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sandune
Regular Member


Date Joined Jun 2008
Total Posts : 83
   Posted 7/3/2008 11:32 AM (GMT -7)   
Is the visual field problem ever one identified in MS?

Gretchen1
Forum Moderator


Date Joined Jan 2007
Total Posts : 3550
   Posted 7/3/2008 12:59 PM (GMT -7)   

Hey Sanddune,

I am assuming you saw an opthalmologist and not just an optometrist.  Visual field can be associated with optic neuritis which can be caused by MS.  The problem is that your doctor looked in your eye and saw your optic nerve and then said that everything looks normal, then you probably don't have optic neuritis.  (as you said in your other post)  Optic neuritis is visible from an eye exam.  Apparently the optic nerve shows current inflammation and can show damage from past inflammation. 

Remember that MS is difficult to diagnose.  It seems like you may need more testing or perhaps a second opinion.  You may want to ask your doctor if a lumbar puncture is warranted.  Evoked potentials is another one that can indicate problems with the central nervous system.  Good luck and keep us posted.


Gretchen       co-moderator MS board       diagnosed with MS July 2006


Gretchen1
Forum Moderator


Date Joined Jan 2007
Total Posts : 3550
   Posted 7/3/2008 1:05 PM (GMT -7)   

Hey Sanddune,

You mentioned that you have a pituitary cyst.  This frequently causes vision problems and those are usually peripheral field issues.  Pituitary cysts are extremely common and that well could be the basis for the peripheral vision issue. 


Gretchen       co-moderator MS board       diagnosed with MS July 2006


sandune
Regular Member


Date Joined Jun 2008
Total Posts : 83
   Posted 7/3/2008 2:35 PM (GMT -7)   
Gretchen: Thank you so much you are the best! I went to an Opthalmologist that the Neuro sent me to. He told me to return in one week for another visual field I didn't see the little lights and my eye was moving. The right eye I did fine. I know the pitutary cyst can also cause problems. I asked the Neuro if there was Optic Neuritis and he said NO. So now I have the the evoked potential next. I guess they will use this info before deciding on Lumbar puncture. Do you think they should do one since the MRI is positive ?

Gretchen1
Forum Moderator


Date Joined Jan 2007
Total Posts : 3550
   Posted 7/3/2008 2:47 PM (GMT -7)   
The lumbar puncture is kind of invasive.  It has some risks (albeit minor).  It seems responsible of your doctor to go with the evoked potentials first.  I am guessing here of course, if your evoked potential come back indicating MS then that seems like it would be enough paired with your MRI results.  If your evoked potentials come back normal, then your doctor may request the lumbar puncture, or he may go with the more conservative "wait and watch" approach.  I am glad to hear that the evoked potentials test has been requested. 
 
Just for your information, evoked potentials have several sub-types.  There is visual, auditory and lower extremities.  There may be more than that but those are the ones I am familiar with.  Each one is meant to time the response of stimulation along  the central nervous system.  If you are indeed having visual problems due to optic nerve damage, that will show on the test. 
Gretchen       co-moderator MS board       diagnosed with MS July 2006


casinokid80
Regular Member


Date Joined Mar 2007
Total Posts : 46
   Posted 7/4/2008 3:23 PM (GMT -7)   
thats good news that you don't have ON.  Once they find out the problem, you will finally get some peace of mind.

20yearsandcounting
Regular Member


Date Joined Jun 2008
Total Posts : 100
   Posted 7/6/2008 11:22 AM (GMT -7)   
i'm not sure how to reply to someone when they reply to me on a post but, no dear, i don't sew anymore....i actually worked in sewing factories years ago and dang, i was good at it too. lol...: ^ )....I would like to have a machine at home like the ones they had in sewing factories...heavy duty....I guess? I am a funny person because that is what I have been told for years....I wish I was so beautiful...haha.....
and, oh yeah sewing factories are pretty much gone here in Pennsylvania...overseas
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