Document Detail


Visual outcome after surgical removal of craniopharyngiomas.
MedLine Citation:
PMID:  2704538     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty patients with craniopharyngiomas were examined preoperatively and immediately postoperatively to determine their level of visual impairment and the extent of visual recovery. Twenty-two patients also were examined during extended follow-up. Twelve of these patients were younger than 18 years of age and 18 were older than 18 years of age at the time of diagnosis. Visual acuity was reduced in 42% of eyes preoperatively. One week postoperatively, visual acuity was reduced in only 23% of eyes. Color vision was a more sensitive indicator of afferent system damage, being abnormal at presentation in 71% of patients. Visual field defects were typically bitemporal hemianopsias, but 20% of patients with evidence of optic neuropathy had no definite visual field deficit preoperatively. Postoperatively, 48% of patients had normal visual fields. There was no long-term improvement in visual acuity or field performance for patients with deficits present after the first postoperative month during an average 2.8 years of follow-up.
Authors:
M X Repka; N R Miller; M Miller
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Ophthalmology     Volume:  96     ISSN:  0161-6420     ISO Abbreviation:  Ophthalmology     Publication Date:  1989 Feb 
Date Detail:
Created Date:  1989-05-12     Completed Date:  1989-05-12     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7802443     Medline TA:  Ophthalmology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  195-9     Citation Subset:  IM    
Affiliation:
Wilmer Opthalmological Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21205.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Child
Child, Preschool
Color Perception
Craniopharyngioma / complications,  surgery*
Female
Follow-Up Studies
Humans
Male
Middle Aged
Pituitary Neoplasms / complications,  surgery*
Postoperative Care
Preoperative Care
Vision Disorders / etiology*
Visual Acuity
Visual Fields
Comments/Corrections
Comment In:
Ophthalmology. 1990 May;97(5):539-40   [PMID:  2386576 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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