AIM: To summarize and analyze the vision field of patients with sellar tumors in our department in the recent 4 years.

METHODS: Vision field data of patients with sellar tumors from August 2008 to August 2012 were collected and analyzed.

RESULTS: Among 27 patients, 16 patients(59.3%)were with abnormal vision field, and 11 patients(40.7%)were with normal vision field. In 16 cases with abnormal vision field, 12 cases(75.0%, 8 cases with pituitary tumors, 3 cases with craniopharyngioma and 1 case with third ventricular malignant teratoma)were with bilateral temporal hemianopsia, 3 cases(18.8%, 1 case with pituitary tumors, 1 case with pituitary cancer and 1 case with craniopharyngioma)were with unilateral temporal hemianopsia, and 1 case with parasellar cyst(4.5%)was with unilateral superior-temporal hemianopsia. After excision of tumors, 13 cases(81.3%)had better vision field, and 6 cases(37.5%)recovered to normal.

CONCLUSION: Most sellar tumors can cause the change of vision field, and the vision field shape depends on the lesion type, size and pressed location. The most characterized vision field is bilateral temporal hemianopsia. After removing tumors, most patients can get better vision field, and some patients can recover to normal. Vision field examination is helpful in the early detection and location detection for sellar tumors, and it can also evaluate the surgery effects, which has guiding significance in the clinical working.