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A Case of Meningioma Masquerading as Ischemic Optic Neuropathy
Journal of the Korean Ophthalmological Society ; : 1821-1825, 2016.
Article in Korean | WPRIM | ID: wpr-159670
ABSTRACT

PURPOSE:

We report a case of meningioma diagnosed as ischemic optic neuropathy. CASE

SUMMARY:

A 45-year-old women presented with decreased visual acuity in her left eye without eye movement pain. Her best corrected visual acuity (BCVA) in that eye was 0.3. She showed a relative afferent pupillary defect, abnormal color vision test, and inferior visual field defect in her left eye. The optic disc showed slight blurring superiorly and pallor temporally. Fluorescein angiography showed choroidal filling defect, and ischemic optic neuropathy was suspected. The carotid artery sonography showed normal results. The BCVA of the left eye was 0.5 after 7 months. The visual field test and color vision test were improved after 7 months. The optic disc was pale. The magnetic resonance imaging was performed because of persistent headache, and that showed a suprasellar mass that was removed by surgical resection and diagnosed as meningioma on biopsy.

CONCLUSIONS:

The possibility of compressive optic neuropathy should be considered in presumed ischemic optic neuropathy if the patient complains of persistent headache.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Pallor / Biopsy / Magnetic Resonance Imaging / Fluorescein Angiography / Carotid Arteries / Visual Acuity / Visual Fields / Optic Nerve Diseases / Pupil Disorders / Choroid Limits: Female / Humans Language: Korean Journal: Journal of the Korean Ophthalmological Society Year: 2016 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pallor / Biopsy / Magnetic Resonance Imaging / Fluorescein Angiography / Carotid Arteries / Visual Acuity / Visual Fields / Optic Nerve Diseases / Pupil Disorders / Choroid Limits: Female / Humans Language: Korean Journal: Journal of the Korean Ophthalmological Society Year: 2016 Type: Article