Optical coherence tomography predicts visual outcome for pituitary tumors

Danesh‐Meyer, Helen V.; Wong, Aaron; Papchenko, Taras; Matheos, Kaliopy; Stylli, Stanley S.; Nichols, Andrew D.; Frampton, Chris; Daniell, Mark; Savino, Peter J.; Kaye, Andrew H.

doi:10.1016/j.jocn.2015.02.001

Cited by 131 publications

(128 citation statements)

References 30 publications

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“…Moon et al also reported that the preoperative RNFL thickness in the temporal sector and GCC area correlated significantly with postoperative VF recovery [3]. Subsequent studies also reported that RNFL and GCC thickness play an important role in predicting postoperative visual outcome [4,9,23,25,26].…”

Section: Discussionmentioning

confidence: 96%

Parafoveal and Peripapillary Perfusion Predict Visual Field Recovery in Chiasmal Compression due to Pituitary Tumors

Lee

Park

et al. 2020

JCM

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Background: To evaluate the potential of vessel density alterations for predicting postoperative visual field (VF) improvement in chiasmal compression using optical coherence tomography angiography (OCT-A). Methods: The study investigated 57 eyes of 57 patients diagnosed with pituitary tumors and 42 eyes of 42 age and refractive error matched controls. All eyes with chiasmal compression for which preoperative optical coherence tomography (OCT) and OCT-A, and pre-and postoperative VF data were available. Preoperative vessel densities of superficial retinal capillary plexus (SRCP), deep retinal capillary plexus (DRCP), and radial peripapillary capillary (RPC) segment were utilized by OCT-A. Results: Preoperative peripapillary retinal nerve fiber layer and ganglion cell layer complex thickness and vessel densities of SRCP and RPC segments in eyes with chiasmal compression were significantly reduced compared with healthy controls (p < 0.001, p < 0.001, p = 0.007, and p = 0.020, respectively). In multivariate regression analysis, preoperative perimetric mean deviation (MD) (p = 0.002) and vessel density of SRCP (p = 0.025) were correlated significantly with postoperative perimetric MD. Spearman's correlation analysis revealed significant correlations between preoperative MD on perimetry (r = 0.443, p = 0.001), vessel densities of SRCP (r = 0.288, p = 0.035) and RPC segment (r = 0.347, p = 0.009), and postoperative perimetric MD. Conclusions: Structural degeneration referred to as microvascular alterations measured by OCT-A and preoperative VF defects were associated with worse postoperative VF prognosis. Parafoveal and peripapillary vessel densities may serve as a sensitive, structural prognostic factors in the preoperative judgement of chiasmal compression.

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Section: Discussionmentioning

confidence: 96%

Parafoveal and Peripapillary Perfusion Predict Visual Field Recovery in Chiasmal Compression due to Pituitary Tumors

Lee

Park

et al. 2020

JCM

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“…Lze shrnout, že studie s krátkodobým i dlouhodobým sledováním pacientů s kompresí OC rozdílné etiologie prokázaly schopnost vyšetření OCT predikovat pooperační vývoj zrakové ostrosti a zorného pole [8,15,18,23,33].…”

Section: úVodunclassified

“…Pokud se v této fázi dosáhne dekomprese, výsledkem je odstranění bloku s následným obnovením správného přenosu signálu. Klinického zlepšení je dosaženo řádově v týdnech [6,8].…”

Section: Diskuseunclassified

The Use of Optical Coherence Tomography in Chiasmal Compression

Poczos

Kremláček

Česák

et al. 2019

CSO

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“…The data are conflicting, with reports of a slight increase in thickness (8), no change (9), and a small decrease in thickness (10,11). The latter would be expected if axons destroyed at the optic chiasm were still undergoing retrograde degeneration at the time of surgery.…”

mentioning

confidence: 99%

Invited Commentary: Ganglion Cell Complex Measurement in Compressive Optic Neuropathy

Horton

2017

Journal of Neuro-Ophthalmology

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Optical coherence tomography predicts visual outcome for pituitary tumors

Cited by 131 publications

References 30 publications

Parafoveal and Peripapillary Perfusion Predict Visual Field Recovery in Chiasmal Compression due to Pituitary Tumors

Parafoveal and Peripapillary Perfusion Predict Visual Field Recovery in Chiasmal Compression due to Pituitary Tumors

The Use of Optical Coherence Tomography in Chiasmal Compression

Invited Commentary: Ganglion Cell Complex Measurement in Compressive Optic Neuropathy

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