Visual function outcome post intracranial surgery in sellar region brain tumor

Abstract

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.