Intermittent Blurry Vision: An Unexpected Presentation of Cushing's Syndrome Due to Primary Bilateral Macronodular Adrenal Hyperplasia (PBMAH).

Cushing's syndrome (CS) is an uncommon endocrine disorder resulting from prolonged exposure to elevated glucocorticoids, with 10-15 million annual cases per the American Association of Neurological Surgeons. Exogenous and endogenous causes can further be divided into adrenocorticotropic hormone (ACTH) dependent (i.e Cushing's Disease) or ACTH independent.