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Visual outcomes in patients with meningiomas compressing optic nerve
David Krahulik1, Filip Blazek1, Martin Hampl1
1Department of Neurosurgery, University Hospital Olomouc, Olomouc, Czechia.
Frontiers in Neurology
|June 30, 2025
Summary
Early surgery for optic nerve meningiomas is key for vision preservation. Shorter symptom duration before treatment leads to better visual recovery, regardless of tumor size or location.
Area of Science:
- Neurosurgery
- Ophthalmology
- Oncology
Background:
- Meningiomas compressing the optic nerve cause progressive vision loss due to complex anatomy.
- Treatment options include observation, radiation, and surgical decompression, with optimal strategies debated.
- This study evaluates surgical intervention's impact on visual recovery in optic nerve-compressing meningiomas.
Purpose of the Study:
- To assess the effect of surgical intervention on visual recovery in patients with optic nerve-compressing meningiomas.
- To refine patient selection and treatment strategies for these tumors.
- To identify predictors of visual outcome after surgery.
Main Methods:
- Retrospective review of 79 patients treated between 2015-2023.
- Inclusion criteria: high-quality MRI, complete ophthalmic records, and ≥1-year follow-up.
- Data collected: demographics, tumor characteristics, and pre/postoperative visual function.
Main Results:
- Longer duration of visual impairment correlated with more severe preoperative vision loss.
- Postoperative visual function did not significantly correlate with tumor size, location, or symptom duration.
- Patients with shorter preoperative impairment durations showed better postoperative recovery.
Conclusions:
- Preoperative visual impairment duration is a critical predictor of visual outcomes.
- Early surgical intervention is supported for optic nerve-compressing meningiomas.
- Further research on tumor-anatomy relationships is needed to optimize visual prognosis.
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