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Purpose To investigate the association between optical coherence tomography (OCT) parameters and long-term visual recovery following optic chiasm decompression surgery. Design Prospective cohort study. Methods Consecutive patients undergoing pituitary or parasellar tumor resection, between January 2009 to December 2018, were recruited in a single-centre, two-year prospective, longitudinal cohort study. Best-corrected visual acuity, visual fields, and OCT retinal nerve fibre layer (RNFL) thickness, macular thickness and volume were asse