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Repeated imaging showed that the mass had invaded the base of the skull, cavernous sinus and orbital apices. Pulse dosing of corticosteroid therapy was commenced, resulting in dramatic improvement of vision. Optic neuropathy may be the presenting sign of NPC. Corticosteroid therapy can offer immediate visual improvement. Optic neuropathy may be the presenting sign of NPC. Corticosteroid therapy can offer immediate visual improvement.Introduction Diabetes mellitus (DM) is a chronic metabolic disease. It is the principal cause behind the