title: I'm stuffed; visual loss after trans-sphenoidal adenomectomy.
abstract: A 61-year-old woman developed bilateral decreased vision within 30 hours of uncomplicated trans-sphenoidal pituitary adenoma resection. Postoperative computed tomography of the brain was consistent with overpacking of the sella turcica with a fat graft. The patient was urgently taken back to the operating room for fat graft reduction and her vision improved.
authors.affiliation: Department of Ophthalmology, University of Alabama School of Medicine, Birmingham, Alabama.
authors.forename: Amanda
authors.initials: A
authors.lastname: Dinsmore
authors.affiliation: Department of Ophthalmology, University of Alabama School of Medicine, Birmingham, Alabama.
authors.forename: Christopher
authors.initials: C
authors.lastname: Compton
authors.affiliation: Department of Ophthalmology, University of Alabama School of Medicine, Birmingham, Alabama. Electronic address: lkline@uabmc.edu.
authors.forename: Lanning
authors.initials: L
authors.lastname: Kline
authors.affiliation: Department of Ophthalmology, Duke Eye Center and Duke University Medical Center, Durham, NC; Department of Neurology (Division of Neurology), Duke Eye Center and Duke University Medical Center, Durham, NC.
authors.forename: M Tariq
authors.initials: MT
authors.lastname: Bhatti
mesh_terms: D050153:Abdominal Fat / Q000473:pathology / Q000637:transplantation*; D000236:Adenoma / Q000601:surgery*; D001766:Blindness / Q000209:etiology*; D005260:Female; D006801:Humans; D007016:Hypophysectomy / Q000009:adverse effects*; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology*; D009897:Optic Chiasm / Q000473:pathology*; D010911:Pituitary Neoplasms / Q000601:surgery*; D012086:Reoperation; D012658:Sella Turcica / Q000601:surgery; D014057:Tomography, X-Ray Computed
keywords: fat packing; pituitary adenoma; postoperative visual loss