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

被引：2

作者：

Kitaguchi, Yoshiyuki ^{[1
]}

Watanabe, Atsushi ^{[1
]}

Nishida, Kohji ^{[1
]}

机构：

[1] Osaka Univ, Grad Sch Med, Dept Ophthalmol, 2-2 Yamadaoka, Suita, Osaka 5650871, Japan

来源：

NEURO-OPHTHALMOLOGY | 2020年 / 44卷 / 05期

关键词：

Lymphoma; diffuse large B-cell lymphoma; extraocular muscle; compressive optic neuropathy; magnetic resonance imaging; FEATURES; TUMORS;

D O I：

10.1080/01658107.2019.1603242

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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.

引用

页码：327 / 331

页数：5

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