ORIGINAL RESEARCH article
Front. Neurol.
Sec. Neuro-Oncology and Neurosurgical Oncology
Volume 16 - 2025 | doi: 10.3389/fneur.2025.1606661
This article is part of the Research TopicAdvancements in Meningioma Management: From Imaging Techniques to Personalized Medicine ApproachesView all 6 articles
Visual outcomes in patients with meningiomas compressing optic nerve
Provisionally accepted
- 1Department of Neurosurgery, University Hospital Olomouc, Olomouc, Czechia
- 2Department of Neurosurgery, University Hospital Ostrava, Ostrava, Czechia
- 3Department of Ophthalmology, University Hospital Olomouc, Olomouc, Olomouc, Czechia
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Background: Meningiomas compressing the optic nerve can lead to progressive visual loss due to the nerve’s complex intraorbital, intracanalicular, and intracranial anatomy. Although observation, radiation, and surgical decompression are available, optimal strategies for preserving vision remain controversial. This study retrospectively evaluates the impact of surgical intervention on visual recovery in patients with optic nerve–compressing meningiomas to refine patient selection and treatment strategies.Methods: A retrospective review was conducted on medical records from the Neurosurgical Clinic at Olomouc University Hospital for patients undergoing surgical treatment for meningiomas near the optic nerve from 2015 to 2023. Inclusion criteria required high-quality preoperative and postoperative MRI, complete ophthalmic records, and a minimum one-year follow-up. Data on demographics, tumor characteristics (size, location, and relationship with the optic nerve), and visual function (acuity and field) were collected. Tumors were categorized by size and degree of optic nerve involvement, and visual outcomes were assessed pre- and postoperatively.Results: Seventy-nine patients (66 females, 13 males; mean age 58) met inclusion criteria. A longer duration of visual impairment correlated with more severe preoperative vision loss. Although postoperative visual function did not significantly correlate with tumor size, location, or duration of preoperative symptoms, patients with shorter impairment durations demonstrated better postoperative recovery.Conclusions: The duration of preoperative visual impairment is a critical predictor of visual outcomes, supporting early surgical intervention for optic nerve–compressing meningiomas. While tumor size and location did not directly influence recovery, further investigation into tumor-anatomy relationships is warranted to optimize visual prognosis.
Keywords: visual impairment, optic nerve compression, Visual function prognosis, Optical nerve, meningiomas
Received: 06 Apr 2025; Accepted: 13 May 2025.
Copyright: © 2025 Krahulik, Blazek, Hampl, Krahulik and Karhanova. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence: David Krahulik, Department of Neurosurgery, University Hospital Olomouc, Olomouc, Czechia
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