What to do if my vision worsened after pituitary surgery and I can only perceive light? - #30640
Age: 42 years * Diagnosis: Pituitary macroadenoma * Symptoms before surgery: Vision loss in one eye (approximately 40–60% vision remaining) * Duration of vision symptoms before surgery: About 1 month ⸻ Surgical History First Surgery * Underwent endoscopic transsphenoidal (through-the-nose) surgery for pituitary macroadenoma. * Surgeons reported that the operation went well with no intraoperative complications. Immediate Postoperative Period * Shortly after surgery, vision in the affected eye worsened significantly and became nearly absent. Investigation * CT scan/imaging was performed. * Doctors found a postoperative blood clot/hematoma causing pressure. Second Surgery * Underwent a second endoscopic transsphenoidal surgery through the nose to remove the blood clot. * Surgeons reported successful removal of the clot. * Postoperative imaging reportedly showed no remaining complications. ⸻ Vision Timeline Before First Surgery * Approximately 40–60% vision in the affected eye. After First Surgery * Vision deteriorated significantly. After Second Surgery (Blood Clot Removal) * Vision reportedly returned clearly/near normally immediately after surgery. Approximately 24 Hours Later * Vision gradually faded again. * Currently unable to see objects, faces, or details. * Can only detect whether lights are on or off (light perception present). * Cannot otherwise functionally see with the affected eye. ⸻ Current Examination Findings According to treating doctors: * CT scan/imaging after second surgery is satisfactory. * No ongoing bleeding/clot reported. * No major surgical complications reported. * Pupil reaction is normal. * Light perception is present. * Doctors report postoperative swelling around the optic pathway area. * Patient is receiving steroid treatment specifically to reduce swelling.
How long has it been since your second surgery?:
- 1-2 weeksHow would you describe the pain level in your eye, if any?:
- No painHave you noticed any other symptoms besides vision loss?:
- No additional symptomsAre you currently taking any medications apart from steroids?:
- Other prescribed medicationsHow has your overall health been since the surgeries?:
- Feeling wellHave you had any follow-up appointments since your second surgery?:
- Yes, within the last weekWhat has the doctor said about your recovery and future vision prognosis?:
- Optimistic about recovery100% Anonymously
No sign-up needed.

Doctors' responses
Hello dear See as per clinical history it seems optic nerve dysfunction or edema Fortunately after surgery The vision almost returned to normal Chances of clothes dislodgement also decreased However since there is light vision which is not completely restored It seems odema was severe Majority functions have been restored but still some chances are there I suggest you to please get in person consultation with neurologist or opthalmologist for better clarity Regards
100% Anonymously
Get expert answers anytime, completely confidential. No sign-up needed.
About our doctors
Only qualified doctors who have confirmed the availability of medical education and other certificates of medical practice consult on our service. You can check the qualification confirmation in the doctor's profile.