AI Article Synopsis

  • The study focused on how visual acuity (VA) recovery affects quality of life in patients who underwent surgery for medial sphenoid wing meningioma (SWM).
  • Out of 153 patients, 35% had preoperative vision issues, with a key finding that those with impairments lasting 4 months or less had better postoperative VA improvements.
  • Results suggested that shorter preoperative visual impairment corresponds with better postoperative health and daily activity outcomes, which can assist in preoperative patient counseling and decision-making.

Article Abstract

Objective: Visual acuity (VA) constitutes an important outcome measure in surgery for medial sphenoid wing meningioma (SWM). This study aimed to assess the recovery of tumor-associated impairment of VA and its impact on patient-reported outcome measures (PROMs) as an indication of vision-related quality of life in patients who had undergone surgery for medial SWM.

Methods: From 2009 to 2018, 153 consecutive patients with medial SWM underwent surgical treatment at the authors' institutions. Tumor-associated VA was evaluated both on admission and during postoperative follow-up examinations, using Snellen charts. Multivariable analysis was performed to identify independent predictors for postoperative improvement of VA. PROMs were collected based on the National Eye Institute 25-Item Visual Function Questionnaire.

Results: Of patients with medial SWM, 53 of 153 (35%) experienced preoperative impairment of VA. The median preoperative duration of visual symptoms was 12 (IQR 3-17) months for the entire study cohort. Multivariable analysis revealed a preoperative duration of visual symptoms ≤ 4 months to be independently associated with postoperative improvement of VA (p = 0.009). Evaluation of PROMs indicated a superior postoperative qualitative extent in the overall health (p = 0.027) and activities of daily living (p = 0.031) categories if preoperative duration of visual impairment was ≤ 4 months.

Conclusions: The overall preoperative duration of tumor-related visual impairment significantly correlates to the extent of postoperative visual improvement as well as vision-related PROMs in medial SWM surgery. These results might aid in preoperative patient counseling and help optimize decision-making and preoperative estimation of long-term visual outcome.

Download full-text PDF

Source
http://dx.doi.org/10.3171/2024.5.JNS232349DOI Listing

Publication Analysis

Top Keywords

preoperative duration
16
medial swm
12
duration visual
12
visual
9
medial sphenoid
8
sphenoid wing
8
wing meningioma
8
surgical treatment
8
surgery medial
8
patients medial
8

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!