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Table of Contents    
CORRESPONDENCE
Year : 2017  |  Volume : 65  |  Issue : 3  |  Page : 690-691

Authors' Reply: Comprehensive neuro-ophthalmological assessment in pituitary tumors


1 Department of Neurosurgery, PGIMER, Chandigarh, India
2 Department of Ophthalmology, PGIMER, Chandigarh, India
3 Department of Endocrinology, PGIMER, Chandigarh, India

Date of Web Publication9-May-2017

Correspondence Address:
Kanchan Kumar Mukherjee
Department of Neurosurgery, PGIMER, Chandigarh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.205894

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How to cite this article:
Dhandapani S, Bansal R, Dutta P, Mukherjee KK. Authors' Reply: Comprehensive neuro-ophthalmological assessment in pituitary tumors. Neurol India 2017;65:690-1

How to cite this URL:
Dhandapani S, Bansal R, Dutta P, Mukherjee KK. Authors' Reply: Comprehensive neuro-ophthalmological assessment in pituitary tumors. Neurol India [serial online] 2017 [cited 2018 Nov 21];65:690-1. Available from: http://www.neurologyindia.com/text.asp?2017/65/3/690/205894


Sir,

We thank Dr. Venugopal for his thoughtful comments on our study.[1]

Assessment of vision is an indispensable outcome measure in clinico-radiological or therapeutic studies on sellar-suprasellar lesions.[2],[3],[4] We admit that detection of impairments in vision may not be confined to the traditional assessment methods. As pointed out by Dr. Venugopal, kinetic perimetry, colour vision and intra-ocular pressure, may reveal more abnormalities and need to be studied more comprehensively. As our study was of a prolonged duration with the number of patients being as large as 1000, we focused on the commonly used and feasible tools applicable in routine practice. In fact, the Congress of Neurological Surgeons (CNS) evidence based guidelines still recommends static perimetry for visual field assessment (Grade III).[5] Other ancillary investigations recommended by CNS include optical coherence tomography, and additionally, visual evoked potential in select patients. We require large neuro-ophthalmological databases from pituitary tumor registries to have better evidence, necessitating 'Pituitary centers of excellence.'

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Venugopal N. Full-field perimetry in pituitary tumors. Neurol India 2017;65:  Back to cited text no. 1
    
2.
Dutta P, Gyurmey T, Bansal R, Pathak A, Dhandapani S, Rai A, et al. Visual outcome in 2000 eyes following microscopic transsphenoidal surgery for pituitary adenomas: Protracted blindness should not be a deterrent. Neurol India 2016;64:1247-53.  Back to cited text no. 2
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3.
Dhandapani S, Singh H, Negm HM, Cohen S, Anand VK, Schwartz TH. Cavernous sinus invasion in pituitary adenomas: Systematic review and pooled data meta-analysis of radiologic criteria and comparison of endoscopic and microscopic surgery. World Neurosurgery 2016;96:36-46.  Back to cited text no. 3
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4.
Dhandapani S, Singh H, Negm HM, Cohen S, Souweidane MM, Greenfield JP, Anand VK, Schwartz TH. Endonasal endoscopic reoperation for residual or recurrent craniopharyngiomas. J Neurosurg 2017;126:418-30.  Back to cited text no. 4
    
5.
Newman SA, Turbin RE, Bodach ME, Tumialan LM, Oyesiku NM, Litvack Z, et al. Congress of Neurological Surgeons systematic review and evidence-based guideline on pretreatment ophthalmology evaluation in patients with suspected nonfunctioning pituitary adenomas. Neurosurgery 2016;79:E530-2.  Back to cited text no. 5
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