Improving Vision After Pituitary Tumor Surgery: Can Cycloset Help? - Neurosurgery

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Pituitary tumor


Hello, I would like to ask if taking "Cilostazol" can improve my eye condition.
I had a pituitary tumor that pressed on my optic nerve, causing blurred vision.
After surgery in early January, my vision has improved somewhat, but I still cannot see clearly.
An ophthalmological examination could not identify the cause.

Xiao Hua, 40~49 year old female. Ask Date: 2015/12/28

Dr. Zhang Junwei reply Neurosurgery


Hello: If the optic nerve was severely compressed initially, it is possible that after surgery, the optic nerve function may not fully recover.
I believe that Cyclosporine A may not be of much help.

Reply Date: 2015/12/28

More Info


After undergoing surgery for a pituitary tumor that was pressing on the optic nerve, it is understandable to have concerns about your vision, especially if you are still experiencing blurriness. The pituitary gland is located at the base of the brain, and tumors in this area can indeed affect vision due to their proximity to the optic nerves.
Firstly, it is important to note that the recovery of vision after such surgery can vary significantly from person to person. Some patients may experience a gradual improvement in their vision over time, while others may not see significant changes. The fact that you have noticed some improvement is a positive sign, but it is not uncommon for complete clarity to take longer to achieve, if at all.

Regarding the use of Cycloset (bromocriptine), it is primarily a medication used to treat conditions related to hyperprolactinemia and Parkinson's disease. While it may have some effects on hormonal regulation and potentially influence pituitary function, there is limited evidence to suggest that it directly improves vision post-surgery. The blurriness you are experiencing could be due to several factors, including swelling around the optic nerve, changes in the eye's refractive state, or other complications that may arise post-surgery.

It is crucial to follow up with your ophthalmologist or a neuro-ophthalmologist, who specializes in vision problems related to neurological conditions. They can conduct a thorough examination to determine the underlying cause of your ongoing visual issues. This may include imaging studies, visual field tests, and assessments of the optic nerve.

In the meantime, here are some general recommendations for managing your situation:
1. Regular Follow-ups: Keep all scheduled appointments with your healthcare providers. Regular monitoring is essential to assess any changes in your condition.

2. Report Changes: If you notice any new symptoms or changes in your vision, report these to your doctor immediately. This can help in adjusting your treatment plan as needed.

3. Visual Rehabilitation: Depending on the extent of your vision issues, you may benefit from vision rehabilitation services. These programs can help you adapt to changes in your vision and improve your quality of life.

4. Healthy Lifestyle: Maintaining a healthy lifestyle can support overall recovery. This includes a balanced diet, regular exercise (as advised by your doctor), and avoiding smoking and excessive alcohol consumption.

5. Medication Management: If you are considering starting any new medication, including Cycloset, discuss this with your healthcare provider to ensure it is appropriate for your situation.

In conclusion, while Cycloset may not directly improve your vision, it is essential to have an open dialogue with your healthcare team about your concerns and treatment options. They can provide personalized advice based on your specific condition and recovery progress. Remember, patience is key in the recovery process, and ongoing support from your medical team will be invaluable as you navigate this journey.

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