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.

Object Details

• Location: Deutsche Nationalbibliothek Frankfurt am Main
• Extent: Online-Ressource
• Language: Englisch

References and Relationships

• Bibliographic citation: 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)

Contributors, Places and Time

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

Further information

• DOI: 10.1159/000524685
• URN: urn:nbn:de:101:1-2022092201020559461006
• Rights: Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
• Last update: 15.08.2025, 7:33 AM CEST