CASE REPORT

Visual function outcome post intracranial surgery in sellar region brain tumor

Dea Prita Caesarita, Yuriz Bakhtiar , Riski Prihatningtias

Dea Prita Caesarita
Resident of Ophthalmology Department, Universitas Diponegoro, Kariadi Hospital, Semarang, Central Java, Indonesia

Yuriz Bakhtiar
Neurosurgery Department, Universitas Diponegoro, Kariadi Hospital, Semarang, Central Java, Indonesia. Email: yurizbs@gmail.com

Riski Prihatningtias
Neuro Ophthalmology Division, Ophthalmology Department, Universitas Diponegoro, Kariadi Hospital, Semarang, Central Java, Indonesia
Online First: April 30, 2021 | Cite this Article
Caesarita, D., Bakhtiar, Y., Prihatningtias, R. 2021. Visual function outcome post intracranial surgery in sellar region brain tumor. Bali Medical Journal 10(1): 309-313. DOI:10.15562/bmj.v10i1.2164


Background: The proximity of sellar tumor to the optic nerve and optic chiasm can cause compressive optic neuropathy. Manifestation of optic pathway dysfunction varies from papilledema to optic nerve atrophy and affects visual function. This case report aims to present two patients with sellar region tumor treated with intracranial surgery.

Case Presentation: Two cases of sellar region tumor patients had complaints decreased visual function treated with intracranial surgery.

Case 1. An 8 years old female, visual acuity pre and post-surgery right eye (RE) 2.2;1.3, left eye (LE) 0.70;0.5. Color vision pre and post-surgery RE 0/38;0/38, LE 0/38;1/38 plate. Contrast sensitivity RE pre and post-surgery can’t be evaluated and left eye 10%;2.5%. The visual field pre and post-surgery was hemianopsia bitemporal. The evaluation had been taken 1-week post-surgery.  Case 2. A 24 years old female, visual acuity pre and post-surgery RE 1.5;1.0, LE 1.8;1.8. Color vision pre and post-surgery RE 0/38;1/38, LE 0/38;0/38 plate. Contrast sensitivity RE pre-surgery can’t be evaluated and 25% post-surgery and LE pre and post-surgery can’t be assessed. The visual field pre and post-surgery was hemianopsia bitemporal. The evaluation had been taken 1-week post-surgery.

Conclusion: All patients with sellar region tumor who underwent intracranial surgery had visual function improvement although progress differed between individuals. It represents a particular challenge for the physicians treating it.

References

Gunawan K, Saekhu M. Visual function impairment in sellar region tumors: An initial study. Adv Sci Lett. 2017;23(7):6743–7.

Muller HL. The Diagnosis and Treatment of Craniopharyngioma. Neuroendocrinology. 2020;110:753-766.

Wan MJ. Zapotocky M. Long-term visual outcomes of craniopharyngioma in children. J Neuro-Oncology. 2018;137(3):645-651.

Cantor LB, Rapuano CJ, Cioffi GA. Neuro-Ophthalmology. In Basic and Clinical Science Course Section 5. San Francisco: The Foundation of the American Academy of Ophthalmology; 2019-2020.

Gil-Simoes R. Pascual JM. Intrachiasmatic craniopharyngioma: Assessment of visual outcome with optical coherence tomography after complete surgical removal. Surg Neuro Int.2019;10:7.

Bourekas EC, Solnes L, Slone HW. Pituitary and Sellar Region Lesions. In:Handbook of Neuro-Oncology Neuroimaging. Elsevier Ltd; 2008. p. 375–91.

Rodriguez FY, De Jesus O. Compressive Optic Neuropathy [Internet]. StatPearls Publishing; 2020 [cited 2020 Oct 29]. Available from: http://www.ncbi.nlm.nih.gov/pubmed/32809418

Bex P. Contrast sensitivity. In: Encyclopedia of the Eye. Elsevier; 2010. p. 383–8.

Behbehani R. Clinical approach to optic neuropathies. Clin Ophthalmol. 2007;1(3):233–46.

Lipsky L, Qureshi HM. The effect of reduced contrast sensitivity on colour vision testing. The Royal College of Ophthalmologists. 2019;33(7):1068-72

Cruysberg JRM, Pinckers A. Acquired color vision defects in compressive optic neuropathy. Neuro-Ophthalmology. 1982;2(3):169–81.

Bulters DO, Shenouda E. Visual recovery following optic nerve decompression for chronic compressive neuropathy. Acta Neurochir (Wien). 2009;151(4):325-34

Fukiyama Y, Oku H, Hashimoto Y, Nishikawa Y, Tonari M, Sugasawa J, Miyachi S, Ikeda T. Complete Recovery from Blindness in Case of Compressive Optic Neuropathy due to Unruptured Anterior Cerebral Artery Aneurysm. Case Rep Ophthalmol. 2017;8(1):157-162.


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