A Case of Complete Visual Recovery From No Light Perception After Resection of Pituitary Adenoma.

Kim, Sang Hyun; Suk, Kyung Won; Lee, Joo Eun

doi:2009.50.9.1437

J Korean Ophthalmol Soc > Volume 50(9); 2009 > Article

Case Report

Journal of the Korean Ophthalmological Society 2009;50(9):1437-1441.
DOI: https://doi.org/10.3341/jkos.2009.50.9.1437 Published online September 15, 2009.

A Case of Complete Visual Recovery From No Light Perception After Resection of Pituitary Adenoma.

Sang Hyun Kim, Kyung Won Suk, Joo Eun Lee

Department of Ophthalmology, Maryknoll Hospital, Busan, Korea. jooeun2@korea.com

뇌하수체선종으로 인한 단안 무광각 환자에서 수술 후 정상시력 회복을 보인 1예

김상현ㆍ석경원ㆍ이주은

Department of Ophthalmology, Maryknoll Hospital, Busan, Korea

Abstract

PURPOSE
We report a case of a patient with no preoperative light perception who achieved complete visual recovery after transsphenoidal resection of a pituitary adenoma. CASE SUMMARY: A 53-year-old man with a history of pituitary adenomectomy visited our clinic complaining of decreased vision of 7 weeks ducation. His best-corrected visual acuity was 1.2 in his right eye, and he had no light perception (NLP) in his left eye. Light reflex was absent in the left eye, and no consistent wave was detected in the left eye on flash visual evoked potential (FVEP). A pituitary adenoma 3x3.5 cm in diameter was found following magnetic resonance imaging (MRI), and was removed using a transsphenoidal approach and gamma knife radiosurgery. Six weeks postoperatively, his best corrected visual acuity improved to 1.0 in the left eye. CONCLUSIONS: Prompt management should be initiated in patients with no light perception vision, due to compressive optic neuropathy.

Key Words: Blindness;Pituitary adenoma;Recovery vision