A tentative initial diagnosis of total blindness of the right eye and
incomplete vision loss of the left eye most likely due to retrobulbar
optic nerve disease was made in a 21-year-old Thoroughbred mare. Postm
ortem examination confirmed the presence of the pituitary-associated t
umor. The lesion was well marginated, of uniform density and was consi
stent with a pituitary adenoma. Pituitary pars intermedia adenomas hav
e been reported to occur primarily in aged horses and are an infrequen
t cause of vision deficits. The most common clinical signs associated
with pituitary tumors in horses include polyuria, polydipsia, hirsutis
m and failure to shed coat, swaybacked or potbellied appearance, hyper
hidrosis, lethargy, dullness, weight loss, chronic infections, chronic
laminitis, buccal ulcers, and estrus suppression and are generally th
e result of pituitary-adrenocortical axis dysfunction. Diagnostic test
ing should be aimed at evaluation of this axis.