Ocular manifestations in patients with intracranial space-occupying lesions

Abstract

Aim: This study aims to study the ocular manifestations in patients with intracranial space-occupying lesions (ICSOLs). Materials and Methods: Cross-sectional hospital-based study. Minimum of 70 patients diagnosed and undiagnosed with ICSOL coming to ophthalmology OPD, neurosurgery OPD, and admitted patients to any ward of Acharya Vinoba Bhave Rural Hospital, Sawangi, Wardha, Maharashtra, were selected. Selected patients underwent detailed clinical history, neurological and ocular examination depending on presenting ocular complaints. Results: The study included 36 males and 34 females. 68.57% of ICSOLs were found in the supratentorial compartment of the brain. The most common ocular symptom was diminution of vision followed by doubling of vision, loss of vision, drooping of eyelids, and protrusion of the eyeball. Commonly seen ocular sign was papilledema followed by visual field defect. Glioma (18.57%) and meningioma (18.57%) were encountered to be the most common ICSOLs followed by vestibular schwannoma (17.14%). Other ICSOLs were pituitary adenoma (11.43%), chronic subdural hemorrhage (8.57%), craniopharyngioma, epidermoid cyst, etc. It was observed that symptoms and signs correlated with the location of ICSOL. Conclusion: Ophthalmologists play important role in intracranial localization of ICSOLs depending on ocular symptoms and signs; thus, early diagnosis and referral to neurosurgeon promote early treatment.