Visual Outcomes After Pituitary Surgery

被引:12
作者
Uy, Benjamin [1 ]
Wilson, Bayard [1 ]
Kim, Wi Jin [1 ]
Prashant, Giyarpuram [1 ]
Bergsneider, Marvin [1 ]
机构
[1] Univ Calif Los Angeles, Dept Neurosurg, 300 Stein Plaza Driveway 420, Los Angeles, CA 90095 USA
关键词
Postoperative visual recovery; Visual outcomes; Visual acuity; Visual field; Endoscopic endonasal surgery; Factors for recovery; OPTICAL COHERENCE TOMOGRAPHY; ENDOSCOPIC ENDONASAL APPROACH; PREDICTIVE FACTORS; TRANSSPHENOIDAL SURGERY; ADENOMA RESECTION; PROGNOSTIC VALUE; FIELD RECOVERY; VISION; MANIFESTATIONS; MACROADENOMAS;
D O I
10.1016/j.nec.2019.06.002
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Visual signs and symptoms are a common manifestation of pituitary adenomas from compression or ischemia of the optic nerves and optic chiasm. Although bitemporal hemianopsia is a classic presenting visual field deficit, additional visual disturbances can result from these tumors. After endoscopic endonasal pituitary surgery, most patients have improvement in visual symptoms. Preoperative factors including retinal nerve fiber layer thickness, severity of preoperative deficit, duration of visual symptoms, tumor size, extent of resection, and patient age serve as possible predictors of postoperative visual outcomes.
引用
收藏
页码:483 / +
页数:8
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