PMC7398306_01
OCT of the macula shows a diffuse loss of ellipsoid zone, sparing the fovea in both eyes. This finding is suggestive of diffuse photoreceptor damage with preservation of foveal cones. There is no cystoid macular edema, neither intraretinal or subretinal fluid accumulation. Choroidal thickness is normal
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Fig1
Optical coherence tomography (OCT) of the macula showed a diffuse loss of ellipsoid zone, sparing the fovea (Fig. 1).
Perimetry showing a very severe loss of visual field in both eyes
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Fig2
Perimetry demonstrated a severe visual field restriction in both eyes which interestingly affected the temporal fields of both eyes rather than the nasal fields (Fig. 2).
Brain MRI. a Post-contrast sagittal T1-weighted and b axial T1-weighted images showing homogenous enhancement of sellar lesion in favor of a pituitary macroadenoma. In the a image, a metallic artifact is visible. c Isointense sellar lesion in T2-weighted acquisition
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Fig3
Brain MRI, despite showing a metallic artifact, revealed a sellar lesion with hypo-intensity in T1, iso- to hyper-intensity in T2 and homogenous enhancement after gadolinium injection, all in favor of a pituitary macroadenoma (Fig. 3).