Glare in a Case of a Craniopharyngioma

Glare is commonly encountered in patients with corneal disease, uveitis, or retinal problems. Rarely, it may be a presenting manifestation of more sinister conditions such as chiasmal lesions. We present the case of a 42-year-old male who complained of glare for 2-3 months. There was neither headache nor blurring of vision. His neuro-ophthalmological examination was within normal limits except for slight decrease in colour contrast of the upper temporal dots of the red-dot perimetry chart. Automated visual fields showed a central scotoma on the right eye and a temporal-inferior field defect on the left. He underwent neuro-imaging, which revealed a suprasellar cystic mass, most likely a craniopharyngioma. Referral to the neurosurgeon was made who performed supraorbital keyhole surgery. Intraoperative findings showed a cystic mass stuck bilaterally on the optic nerves, carotids, and optic chiasm with the pituitary stalk deviated to the right side. Histopathology report revealed a craniopharyngioma, adamantinomatous variant. One month post excision, the patient showed improvement in his visual functions.