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A Case of Compressive Optic Neuropathy Secondary to Lymphoma of the Extraocular Muscles

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ABSTRACT Compressive optic neuropathy is an urgent condition that may lead to blindness. We report a rare case of compressive optic neuropathy secondary to lymphoma of the extraocular muscles in… Click to show full abstract

ABSTRACT Compressive optic neuropathy is an urgent condition that may lead to blindness. We report a rare case of compressive optic neuropathy secondary to lymphoma of the extraocular muscles in which the vision was successfully rescued. A 67-year-old man presented with visual acuity of hand motion in the right eye for 1 month. Magnetic resonance imaging demonstrated enlargement of the medial and inferior rectus muscles with their tendons. Tendon enlargement, which is uncommon as Graves’ orbitopathy, motivated us to perform a biopsy. Intravenous steroids following biopsy and chemotherapy after definitive diagnosis allowed for recovery of vision. Clinicians should be aware that enlarged extraocular muscles due to lymphoma can cause compressive optic neuropathy.

Keywords: neuropathy secondary; lymphoma; compressive optic; case compressive; extraocular muscles; optic neuropathy

Journal Title: Neuro-Ophthalmology
Year Published: 2019

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