Beware the Retrobulbar Optic Neuritis Diagnosis

A 48-year-old gentleman presented to the ophthalmology department with progressive monocular vision loss, a relative afferent-pupillary defect, decreased color perception, headache, proptosis, and retro-orbital pain. This particular patient’s demographics and disease course did not suggest a “typical” retro-bulbar optic neuritis and highlights the importance of avoiding presumptive steroid treatment in such “atypical” cases. Further investigations revealed a compressive optic neuropathy secondary to an orbital tumor (B-cell non-Hodgkin’s lymphoma) and were subsequently treated by a multi-disciplinary approach. Early detection and commencement of treatment is a crucial determining factor in orbital lymphoma prognosis and is therefore an important differential diagnosis for an ophthalmologist to consider when evaluating patients with “atypical” optic neuropathies.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Beware the Retrobulbar Optic Neuritis Diagnosis ; volume:13 ; number:2 ; year:2022 ; pages:453-458 ; extent:6
Case reports in ophthalmology ; 13, Heft 2 (2022), 453-458 (gesamt 6)

Urheber
McElhinney, Kealan
Rhatigan, Maedbh
Tsvetanova, Zornitsa
O’Keane, Conor
Logan, Patricia

DOI
10.1159/000524685
URN
urn:nbn:de:101:1-2022092201020559461006
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:33 MESZ

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Beteiligte

  • McElhinney, Kealan
  • Rhatigan, Maedbh
  • Tsvetanova, Zornitsa
  • O’Keane, Conor
  • Logan, Patricia

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