ABSTRACT
Background: Transsphenoidal surgical exision of pituitary tumor in widely used route
Objective: To determine the effects on visual symptoms after transsphenoidal hypophysectomy for pituitary adenomas
Patients and Methods: This retrospective study was conducted in the department of neurosurgery, Postgraduate Medical Institute, Lady Reading Hospital, Peshawar. All patients from January 2006 to January 2011, who underwent transsphenoidal surgery for pituitary adenomas, were included for visual deterioration
Results: During the five years time a total of 65 patients were operated for transsphenoidal adenomas. Four patients were excluded due to various reasons. There were 44 [72.13%] male and 17 [27.87%] female patients. The age ranged from 31 years to 62 years. The mean age was 44 years. There was improvement in visual symptoms in 39 [63.93%] patients immediately after surgery, 13 [21.31%] patients showed improvement in four weeks time, while there was no improvement in 9 [14.75%] patients
Conclusion: The improvement in visual symptoms occurs in majority of the patients after transsphenoidal hypophysectomy. There are several factors which influence the outcome, like duration and size of the lesion