J Korean Ophthalmol Soc > Volume 57(11); 2016 > Article
Journal of the Korean Ophthalmological Society 2016;57(11):1821-1825.
DOI: https://doi.org/10.3341/jkos.2016.57.11.1821    Published online November 15, 2016.
A Case of Meningioma Masquerading as Ischemic Optic Neuropathy.
Ju Eun Kim, Moo Hwan Chang, Sung Eun Kyung
Department of Ophthalmology, Dankook University College of Medicine, Cheonan, Korea. kseeye@hanmail.net
허혈시신경병증으로 의심한 환자에서 발견된 안장 위 수막종 1예
김주은⋅장무환⋅경성은
단국대학교 의과대학 안과학교실
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.
Key Words: Compressive optic neuropathy;Ischemic optic neuropathy;Suprasellar meningioma


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