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Updated: Feb 6, 2026
07:43
Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
Published on: January 17, 2018
19.8K
Visual Field Outcome Reporting in Neurosurgery: Lessons Learned from a Prospective, Multicenter Study of
Michael A Mooney1, Angela M Herro2, Robert E Fintelmann3
1Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
World Neurosurgery
|August 26, 2018
Summary
Visual field (VF) testing shows variability in pituitary surgery outcomes. Standardized guidelines are needed for reliable VF data collection and reporting to improve outcome comparisons.
Area of Science:
- Neurosurgery
- Ophthalmology
- Clinical Trials
Background:
- Visual field (VF) outcomes are frequently reported in neurosurgical studies.
- Significant variability exists in VF testing methods and outcome reporting.
Purpose of the Study:
- Evaluate challenges in VF testing.
- Develop recommendations for VF outcome reporting.
- Analyze data from a multicenter study on transsphenoidal pituitary surgery.
Main Methods:
- Collected VF testing results from a prospective, multicenter clinical trial (TRANSSPHER).
- Two independent ophthalmologists reviewed VF study reliability and outcomes.
- Evaluated preoperative and postoperative VF studies individually and as pairs.
Main Results:
- 37% of VF studies had suboptimal perimetry settings.
- Automated reliability criteria flagged 25-29% of VFs as unreliable; ophthalmologists flagged 16-28%.
- Most patients showed VF improvement post-surgery (60-67%), with substantial rater agreement.
Conclusions:
- VF outcome studies exhibit significant variability in test parameters and patient performance.
- Automated criteria alone are insufficient for assessing VF test reliability; independent review is crucial.
- Standardized guidelines for VF data collection and reporting are essential for enhancing reliability and comparability.
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