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This review assesses visual outcomes after resecting tuberculum sellae meningiomas using the endoscopic endonasal approach.

Visual outcomes following endoscopic endonasal approach for tuberculum sellae meningiomas a systematic review and meta-analysis

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Systematic review finds endoscopic endonasal approach improves visual outcomes in tuberculum sellae meningiomas, suggesting surgical benefits.

This review assesses visual outcomes after resecting tuberculum sellae meningiomas using the endoscopic endonasal approach.
Conducted a systematic literature search in PubMed, EMBASE, and Cochrane CENTRAL
Included studies reporting postoperative visual outcomes after tuberculum sellae meningioma resection via endonasal approach
Performed subgroup and sensitivity analyses to evaluate heterogeneity and outcome comparisons with transcranial approach
Preoperative visual impairment was noted in 56%–100% of patients
Postoperatively, pooled rate of improved or stabilized vision after EEA was 93%
Pooled rate of improved vision alone after EEA was 77%
EEA showed significantly higher odds of visual improvement compared to TCA (OR: 2.09)
Improved vision alone after EEA also favored EEA (OR: 2.28)

Lee et al. (2026) studied this question.

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Systematic review finds endoscopic endonasal approach improves visual outcomes in tuberculum sellae meningiomas, suggesting surgical benefits.