UNIVERSITY OPHTHALMOLOGY CONSULTANTS

 

     

CASE OF THE MONTH

CASE #18

 

  Dr. Amir Yamani
  Amir Yamani, MD
  AND
  Larry Frohman, MD
  Associate Professor of Ophthalmology and Neurosciences
  Beth Pletcher, MD
  Department of Pediatrics/Genetics
  Leo Wolansky, MD
  Department of Radiology

 

Case: A 14-year-old right-handed adolescent boy reported sudden painless visual loss in the right eye of 3 weeks’ duration upon arrival at our neuro-ophthalmology service.
Past Ocular History
Lymphangioma of the left orbit found at age 7 months
The patient underwent 4 surgical procedures involving the left orbit and eyelids because of the lymphangioma, with known stable residual tumor
Review of Systems
No headaches, transient visual obscurations, tinnitus, nausea or vomiting, nor other neurologic complaints were reported.
Early Course
The referring retinal specialist diagnosed a central retinal vein occlusion (CRVO) OD.
Laboratory tests were ordered as well as an MRI of the brain and orbit because of our concern that the existing left orbital mass had grown into the right orbit, causing CRVO in the right eye.
The MRI findings led to a neuro-ophthalmic consultation.

 

 

Click to view the results of the neuro-ophthalmic examination

 

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