AI Article Synopsis
- The study aimed to analyze the visual outcomes of patients with anterior visual pathway meningiomas (AVPM) over at least one year, focusing on their demographics, clinical course, and management approaches.
- Out of 81 AVPM patients, the findings showed that 57% had good visual acuity at the last examination, while 22% faced significant visual impairment that could affect their ability to drive or led to legal blindness.
- The research highlights the need for a collaborative approach in managing AVPM, involving neurosurgeons, neuro-ophthalmologists, and occupational therapists to assist patients in adapting to potential changes in their vision and daily lives.*
Article Abstract
Purpose: To examine the visual outcome of anterior visual pathway meningioma (AVPM) patients followed for at least one year.
Methods: Data were collected on demographics, clinical course and management. Visual disability was classified at the first and last examination as follows: I--no visual disability; II--mild visual defect in one eye; III--mild visual defect in both eyes; IV--loss of driver's license; V--legally blind.
Results: Eight-one AVPM patients had their tumor originate in the clinoid process in 23 (28%), sphenoid-wing area in 18 (22%), cavernous sinus in 15 (19%), tuberculum sellae in 8 (10%), and mixed in 17 (21%). On last examination, 46 patients (57%) had good visual acuity in one or both eyes (Class I or II) and 17 (21%) were mildly affected in both eyes. The rate of Class IV disability was 16%, and Class V disability was 6%.
Conclusions: Attention needs to be addressed to the considerable proportion of patients with AVPM (22% in this study) who may lose their driver's license or become legally blind. Occupational therapists should play an important role in the multidisciplinary management of those patients to help them adapt to their new physical and social situation.
Implications For Rehabilitation: Anterior visual pathway meningiomas (AVPMs) are commonly not life-threatening but they can lead to profound visual disability, especially when the tumor originates in the tuberculum sellae and cavernous sinus. Particular attention should be paid to visual acuity and visual field deficits, as these can profoundly affect the patient's quality of life including ability to drive and activities of daily living. The interdisciplinary management of patients with AVPM should include the neurosurgeon, neuro-ophthalmologist and occupational therapist. Also, early intervention by the occupational therapist can help patients adapt to their current physical and social situation and return to everyday tasks more rapidly.
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| http://dx.doi.org/10.3109/09638288.2014.948141 | DOI Listing |
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