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How Much Time Does It Take For Vision To Return When Suffering From Prolactinoma?

Posted on Thu, 18 Sep 2014

Question: Hi Sir,

My dad got a prolactinoma(pituatory macrodenama) surgery. He lost vision in his left eye before the surgery. The tumour is removed completemly and its benign. How much time it will take for the vision to come back.

Answered by Dr. Sudhir Kumar (11 hours later)

Brief Answer:
Difficult to predict.

Detailed Answer:
Hi Ms XXXXXXX

Thank you for posting your query.

I have noted your father's symptoms and details of diagnosis and surgery.

Unfortunately, he lost vision in left eye before surgery (due to pressure of pituitary tumor on the optic chiasma- nerves for vision).

Usually, this nerve damage is not fully reversible and he is unlikely to recover his vision fully. Even the partial recovery may take several months and it is difficult to predict the extent and timing of vision recovery.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (37 minutes later)

he is even not able to open his right eye completely but he has complete vision in it. he is totally fine now otherwise.so wat can we do so that he can open his right eye without any difficulty and resume his activities as before ?

Answered by Dr. Sudhir Kumar (30 minutes later)

Brief Answer:
Good exercises and vitamins

Detailed Answer:
Thank you for getting back.

He can be given good nutritious food and vitamin supplements.

In addition, he can do exercises for the eyes.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (3 minutes later)

Sir,

Thanks a lot . Is this disease life threatening? can a person lead a good life after this.What food and vitamins. Please suggest exercise also .

What else we need to do that he can recover totally and lead a normal life.

Please reply ? Can i call you now? if yes, whats your number?

Thanks a lot for help. really appreciate it.

Answered by Dr. Sudhir Kumar (3 minutes later)

Brief Answer:
Not life threatening.

Detailed Answer:
Thank you for getting back.

The disease is not life threatening. He can lead a fairly normal life.

As you have noted, it is a benign tumor and is completely cured.

He needs to follow the medications as advised by the doctor.

Food should contain fresh fruits, milk, dry fruits, eggs, fish, etc.

Exercises would include moving the eye in all directions, and opening and closing eyelids.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Sudhir Kumar (7 minutes later)

Thanks a lot Sir, I am really grateful to you for the valueable time

How much time it will take for the right eye to open by itself , as he can open by himself without the hand support?

Is there any treatment for left eye if it doesnot improve? Have you come across any patient who lost vision due to macroadenoma and got it back?

Please advice Sir. I am sorry I am troubling you a lot.

Thanks a lot for the advice,

You are awesome.

Thanks XXXXXXX

Answered by Dr. Sudhir Kumar (8 hours later)

Brief Answer:
Difficult to predict.

Detailed Answer:
Thank you for getting back.

Right eye may open up, however, it may take several months. Exact timeframe is difficult to predict.

Vision may partly recover, however, I have not seen complete recovery of vision.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar