Visual field analysis in pituitary adenoma patients before and after transnasal transsphenoidal resection
Objective To explore the characteristics and influencing factors of visual field changes in patients with pituitary adenoma after transnasal transsphenoidal resection by analyzing their pre and pos-toperative visual field.Methods A total of 36 patients(72 eyes)who underwent transsphenoidal pituitary adenoma resection in Ruijin Hospital from January 2021 to January 2023 with follow-up data were collected,and the changes in visual field before and 3 months after the surgery were analyzed.Result There were statistical differences between the visual field defect group and the normal group in the age of diagnosis,and tumor size.After transsphenoidal pituitary adenoma resection,among the 8 patients with normal binocular vision before surgery,1 case of monocular visual field defect occured.Among the 28 patients with varying degrees of visual field defects before surgery,5 cases became normal in both eyes.and 13 cases improved,8 cases with no significant improvement,and 2 cases(monocular)get worse compared to before.Conclusion The severity of visual field defects is related to the age of diagnosis age and tumor size.After nasal transsphenoidal pituitary adenoma resection,visual fields of most patients are improved,and it's improvement is related to the age of diagnosis.
pituitary adenomacentral static visual fieldtransnasal transsphenoidal resection of pituitary adenomavisual field defect
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