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What to do if my vision worsened after pituitary surgery and I can only perceive light?
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Eye & Vision Disorders
Question #30640
10 hours ago
14

What to do if my vision worsened after pituitary surgery and I can only perceive light? - #30640

Client_b7ed05

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 weeks

How would you describe the pain level in your eye, if any?:

- No pain

Have you noticed any other symptoms besides vision loss?:

- No additional symptoms

Are you currently taking any medications apart from steroids?:

- Other prescribed medications

How has your overall health been since the surgeries?:

- Feeling well

Have you had any follow-up appointments since your second surgery?:

- Yes, within the last week

What has the doctor said about your recovery and future vision prognosis?:

- Optimistic about recovery
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Doctors' responses

Dr. Bharat Joshi
I’m a periodontist and academician with a strong clinical and teaching background. Over the last 4 years and 8 months, I’ve been actively involved in dental education, guiding students at multiple levels including dental hygienist, BDS, and MDS programs. Currently, I serve as a Reader at MMCDSR in Ambala, Haryana—a role that allows me to merge my academic passion with hands-on experience. Clinically, I’ve been practicing dentistry for the past 12 years. From routine procedures like scaling and root planing to more advanced cases involving grafts, biopsies, and implant surgeries. Honestly, I still find joy in doing a simple RCT when it’s needed. It’s not just about the procedure but making sure the patient feels comfortable and safe. Academically, I have 26 research publications to my credit. I’m on the editorial boards of the Archives of Dental Research and Journal of Dental Research and Oral Health, and I’ve spent a lot of time reviewing manuscripts—from case reports to meta-analyses and even book reviews. I was honored to receive the “Best Editor” award by Innovative Publications, and Athena Publications recognized me as an “excellent reviewer,” which honestly came as a bit of a surprise! In 2025, I had the opportunity to present a guest lecture in Italy on traumatic oral lesions. Sharing my work and learning from peers globally has been incredibly fulfilling. Outside academics and clinics, I’ve also worked in the pharmaceutical sector as a Drug Safety Associate for about 3 years, focusing on pharmacovigilance. That role really sharpened my attention to detail and deepened my understanding of drug interactions and adverse effects. My goal is to keep learning, and give every patient and student my absolute best.
9 hours ago
5

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

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