Transsphenoidal Chiasmopexy for Long Standing Visual Failure in the Secondary Empty Sella Syndrome

Abstract

The development of an empty sella syndrome is a well recognised complication in the treatment of pituitary tumours and usually presents with visual failure. Transsphenoidal chiasmopexy has been successful in reversing the visual loss when performed in the acute stage. A case, where a delay of 18 months in the surgery does not appear to have affected the outcome, is presented and the literature reviewed.

Key Words:

• Empty sella syndrome
• chiasmopexy
• transsphenoidal surgery
• visual failure