PMC7388598_01
Wide defect in visual field of the right eye (A) that rapidly improved after one day of treatment (B)
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Visual field exam revealed large defect in the right eye (Figure 1). Rapid improvement of visual acuity (4/10) and regression of field defect were noted in the first day (Figure 1).
Normal macular region in the right eye showed with optical coherence tomography
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Optical coherence tomography showed no macular pathology (Figure 2).
MRI revealed large sellar mass with lateral and supra sellar extension compressed optic chiasma and intense homogenous enhancement
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Magnetic resonance imaging (MRI) showed a large pituitary mass (diameter = 27 mm) resembling macroadenoma with suprasellar and lateral extension responsible for moderate compression of optic chiasma with an intense homogenous post-contrast enhancement and stalk thickening (Figure 3).