Purpose: To report the ocular sequelae after the neuro-surgical management of the patients who were diagnosed to have pituitary apoplexy.
Method: Retrospective case series of patients from 2000 to 2010, who were diagnosed of pituitary apoplexy at NTUH confirmd by brain MRI. Some patients presented ocular manifecitaions, including visual acuity decline, visual field loss, ptosis and diplopia. Some of them had long term ocular sequelae after management.
Result: The mean age of the 40 patients with pituitay apoplexy was 41.75 (18-75). The most common presenting sign was visual field defect (22/40); followed by decreased visual acuity (19/40), headache (10/40) and endocrine related symptoms or signs (10/40). Among the 13 patients with follow-up visits, all of them recieved transsphenoidal hypophysectomy. Follow-up period ranged from 8 months to 6 years (2.19 years in average) after the initial presentation. 7 of 13 patients have improved visual acuity and 3 out 7 patients got improved visual field results.
Conclusion: In our study, it showed fair recovery of visual acuity but poor improvement in visual field defect during follow-up after surgery. | 
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