Long-term visual outcome after nonradical microsurgery patients with parasellar and cavernous sinus meningiomas.
OBJECTIVE
To determine the long-term visual outcome in patients with parasellar and cavernous sinus meningiomas treated with nonradical surgery.


METHODS
Retrospective clinical review of 29 patients with parasellar or cavernous sinus meningiomas and visual sensory or ocular motor dysfunction at presentation, all of whom had at least 10 years of follow-up after initial diagnosis and treatment with nonradical surgery.


RESULTS
Nineteen of 29 patients had a unilateral or bilateral optic neuropathy at presentation, and 7 patients developed a unilateral or bilateral optic neuropathy during a mean follow-up period of 13.6 years. However, 27 (93%) of 29 patients retained vision of 20/40 or better in at least one eye, and 14 patients (48%) retained vision of 20/40 or better in both eyes. New ocular motility deficits developed in 3 (10%) of 29 patients during the follow-up period.


CONCLUSIONS
Radical surgery is not required to achieve long-term useful visual function for patients with parasellar or cavernous sinus meningiomas.
Department of Ophthalmology, Johns Hopkins Hospital, Baltimore, Maryland.
D F
DF
Klink
P
P
Sampath
N R
NR
Miller
H
H
Brem
D M
DM
Long
D000293:Adolescent; D000328:Adult; D000368:Aged; D002426:Cavernous Sinus; D003389:Cranial Nerve Diseases / Q000453:epidemiology; D005128:Eye Diseases / Q000453:epidemiology*; D005260:Female; D006801:Humans; D008297:Male; D008577:Meningeal Neoplasms / Q000601:surgery*; D008579:Meningioma / Q000601:surgery*; D008866:Microsurgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology*; D012189:Retrospective Studies; D012658:Sella Turcica; D013997:Time Factors; D016896:Treatment Outcome; D014792:Visual Acuity