Recovery of Complete Blindness and Internal Ophthalmoplegia After Transsphenoidal Decompression of Pituitary Apoplexy

Cureus. 2022 Sep 1;14(9):e28681. doi: 10.7759/cureus.28681. eCollection 2022 Sep.

Abstract

We report the case of a 64-year-old male who developed sudden onset of bilateral no light perception vision and bilateral total internal ophthalmoplegia after pituitary apoplexy. He underwent transsphenoidal pituitary decompression. Four months after the surgery, the patient recovered excellent functional vision (20/25) in one eye, though with significant residual visual field loss. He regained full extraocular motility bilaterally.

Keywords: amaurosis; apoplexy; blindness; ophthalmoplegia; pituitary.

Publication types

  • Case Reports