Pituitary Adenoma Apoplexy of the Orbit, Diagnosis, and Management With Presurgical Embolization

Orbital invasion of pituitary adenomas has been previously reported. In this report, the authors describe a 71-year-old female with a prolactinoma that presented with invasion of and apoplexy within the orbit. The patient underwent exenteration, followed by rapid tumor recurrence and growth. Given the hemorrhagic nature of the tumor, she subsequently underwent preoperative embolization and surgical resection. This case is notable in that it illustrates both apoplexy of a pituitary tumor within the orbit and the benefit of presurgical embolization. Accepted for publication August 15, 2018. The authors have no financial or conflicts of interest to disclose. Presented at Spring ASOPRS 2018, May 31 to June 2, 2018, Austin, TX. Address correspondence and reprint requests to Timothy J. McCulley, M.D., Johns Hopkins University School of Medicine, Wilmer Eye Institute, Baltimore, MD. E-mail: Tmccull5@jhmi.edu © 2018 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.