Visual outcome in surgically treated XXXX .

@entity1 @entity1018 @entity227 @entity5 @entity1804
OBJECTIVE To determine long-term (>10 years) visual outcome in @entity1 with @entity1804 . METHODS Retrospective case series.RESULTS Among 18 @entity1 who underwent surgery for @entity1804 (1 @entity1 died postoperatively), 1 experienced initial improvement in vision in both eyes, 8 experienced improvement in vision in one eye and maintained stable vision in the other eye, 2 experienced @entity227 in the other, 3 experienced worsening of @entity227 in one eye, and 4 maintained stable visual acuity in both eyes. No @entity1 experienced postoperative @entity227 . During 10 years or more of follow-up, 10 of the @entity1 (56%) maintained stable vision in both eyes, 6 @entity1 (33%) experienced @entity1018 in one eye while maintaining stable vision in the other, and 2 @entity1 (11%) experienced @entity1018 in both eyes. During this period, 7 of the 18 @entity1 (39%) developed neuroimaging evidence of @entity5 growth or recurrence, with a mean time of 10.7 years. Four of these @entity1 were thought to have had gross total resection of their @entity5 . @entity1 who experienced worsening of vision during the follow-up period were more likely to have developed neuroimaging evidence of growth or recurrence (five @entity1 ) than @entity1 without such evidence (two @entity1 ), and such @entity1 did not regain vision following subsequent surgery or radiation therapy. Nevertheless, at final examination, 13 @entity1 (72%) had visual acuity of 20/40 or better in at least one eye. CONCLUSIONS The long-term visual prognosis for @entity1 who undergo surgery for @entity1804 is excellent, although @entity5 recurrence is common, even in @entity1 thought to have undergone gross total @entity5 , and often occurs more than 10 years after surgery. @entity1 who develop @entity5 recurrence are likely to lose vision in at least one eye and are unlikely to achieve improvement in vision with subsequent surgery or radiation therapy. Thus, @entity1 with @entity1804 believed to have been completely resected should undergo long-term, serial postoperative clinical examinations and neuroimaging to allow detection and further treatment of recurrences as early as possible. Postoperative radiation therapy should be considered for @entity1 whose @entity1804 have been incompletely resected.
