I'm stuffed; visual loss after trans-sphenoidal adenomectomy

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.