Journal of Ophthalmology Research & Therapeutics

Abstract

Craniopharyngiomas are benign sellar and suprasellar tumors that frequently cause visual field defects due to compression of the optic chiasm, which are usually considered permanent. We report a rare case of reversible visual field loss in a 29-year-old woman with a partially calcified craniopharyngioma. The patient presented with left temporal hemianopia on Humphrey visual field testing, despite normal visual acuity in both eyes. Neuroimaging revealed an old, partially calcified sellar and suprasellar mass consistent with craniopharyngioma. Review of prior medical records showed a similar episode of right temporal hemianopia two years earlier, which had resolved spontaneously. This case demonstrates that visual field defects associated with craniopharyngioma may be reversible, possibly due to reduced mass effect from tumor regression or calcification. Awareness of this potential for recovery is important when evaluating visual prognosis and planning long-term follow-up in patients with craniopharyngioma.