Iatrogenic Optic Chiasm Compression Presenting as Pituitary Mass Recurrence: Findings During Revision Extended Endonasal Approach After Surgery at Outside Institution

We present a 29-year-old female with history of pituitary mass resected at an outside institution with postoperative panhypopituitarism, complete right vision loss, and left visual impairment who was taken to the operating room due to concern for recurrent disease and worsening of visual symptoms. Intraoperative findings showed diffuse scarring and packing causing iatrogenic compression of the optic chiasm. Adipose graft was performed for reconstruction as nasoseptal flap vascular supply had been compromised.

 

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No conflict of interest has been declared by the author(s).

Publication History

Article published online:
07 February 2025