What is this Mass? Deep Dive into Suprasellar Tumors

Sellar and Suprasellar Tumors are a diverse group of malignant and benign lesions that cause significant visual morbidity because of their location. A high index of suspicion and a multidisciplinary team including neuro-ophthalmology, neuro-oncology and neurosurgery is needed as different lesion types have drastically different treatments. Optical Coherence Tomography - both Retinal Nerve Fiber Layer and Ganglion Cell Layers, provide neuro-ophthalmologists with a tool to aid in the assessment of visually threatening lesions and can allow for earlier detection prior to visual symptoms. Children as young as 2-3 years can sit (or stand) for optical coherence tomography and often can do this well before they are able to complete formal visual field assessment.