I’m going to have you focus on my nose…as you’re looking at my nose….I’m going
to hold out some fingers…can you tell me how many you see? SALLY:
How many now? SALLY:
One Two TECH:
Great DR. KULKARNI:
Typically pituitary tumor cases get referred to me, because I’m in neuro-ophthalmology.
A neuro-ophthalmologist is somebody that deals with the visual and nervous system together.
Your optic nerve looks really healthy. So the most common things I see are optic nerve
problems, problems with the visual pathway, such as with Sally, with
the optic hiasm problem, a lot of strokes, tumors, things like MS that can affect the
visual portion of the brain. I’m hoping you’ll gain some of that peripheral vision
back. The underlying theme is that the eye care provider is really wedded to the nervous
system and similarly the neurologist is wedded to the visual system and the neuro-ophthalmologist’s
role is really to unite those two. It is actually a rare branch of ophthalmology
and I feel really lucky to be in this field, and it’s kind of highly valued amongst other
ophthalmologists because when they went into trouble, they usually call me. A lot of what
I do is alleviating fear and trying to guide people through this very critical time in
their life. And so for me it’s something routine. You know, just a pituitary tumor
compressing the optic hiasm is something we see, um, once a week. But realizing that for her, this is a really
critical moment. And I think it’s really helpful for her to have somebody that knows
what’s going on, and has been through this process with many, many people before, and
it’s much easier for me to reassure her and kind of guide her through that.