Pituitary & hypothalamus

Pituitary deficiencies related to optic nerve hypoplasia and visual acuity

Clin Endocrinol (Oxf)Published Retrospective cohort study

Main finding · Any pituitary deficiencyResult — go to the resultodds 4.9 95% CI 2.4–10.1

Authors' conclusion

This study shows a significant association between severity of visual impairment and increased probability of pituitary deficiencies in children with bONH versus uONH. Children with ONH require urgent endocrine evaluation due to risk of pituitary deficiencies, but risk stratification may also be based on severity of visual impairment.

Study context

Population
Patients with optic nerve hypoplasia seen at a single center, 2013–2022
Participants
197 patients
Exposure
Bilateral optic nerve hypoplasia (ONH) vs unilateral ONH
Outcome
Pituitary deficiencies (number and age of development) in relation to visual acuity
Methodological detailsretrospective chart review, single-centre
  • Retrospective chart review
  • Single-centre

Main finding

Any pituitary deficiency

odds

4.9

95% CI 2.4–10.1

As reported in the abstract

Observational data: associations, not effects.

Further findings

First presenting pituitary deficiency

Central hypothyroidism was the most common first presenting deficiency, followed by GH, across all patients

Original publication

Pituitary deficiencies related to optic nerve hypoplasia and visual acuity. Clin Endocrinol (Oxf). Published 4 August 2024. doi:10.1111/cen.15125

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