An 8 year old was referred with a one week history of swelling around her left eye. She was not aware of any change in her vision or double vision. Visual acuity was 20/20 OD and 20/25 OS. Visual fields demonstrated minimal scattered desaturation with < ½ dB asymmetry between the two sides. External examination demonstrated Hertels of 14 and 25 with moderate resistance to retropulsion OS. Pupils were reactive without afferent pupillary defect. Motility revealed minimal limitation in elevation OS. Slight lamp examination was unremarkable. Rebound pressures were 18 and 16. OCT demonstrated average nerve fiber layer thickness of 102 microns OD and 101 OS without retinal striae. CT scan and MRI scan were done prior to referral were said to show a meningioma and neurosurgery was consulted. Pediatric Oncology was concerned about the rapid onset and suggested orbitotomy and or craniotomy.
Date
2018-03
Language
eng
Format
video/mp4
Source
2018 North American Neuro-Ophthalmology Society Annual Meeting
Relation is Part of
NANOS Annual Meeting 2018: Frank B. Walsh Session 2
