Abstract
The aim of this paper is to report clinically various cases of intracranial tumors in patients referred to glaucoma clinic for consultation. The secondary aim was to increase the awareness of intracranial tumors in atypical cases of glaucoma. We present the retrospective analysis of five patients referred to glaucoma clinic for consultation. Due to atypical course of the disease, in addition to standard glaucoma examinations, all patients had a neurologic full visual field, color vision, and MRI done. In all patients, intracranial malignancies were found, some patients underwent surgery of the lesions with consecutive clinical improvements. Interestingly, in some patients, coexisting glaucoma was diagnosed. Patients were selected deliberately to present a wide spectrum of possible clinical scenarios when glaucoma may be complicated by intracranial tumors. Sometimes, the relevance of intracranial tumors with respect to their influence on the clinical picture of the optic nerve cannot be established. To conclude, in the “atypical cases of glaucoma” the assessment of the optic nerve may indicate the necessity of neuroimaging in differential diagnostics.
Highlights
Visual disturbances are frequently presenting symptoms of intracranial tumors
In order not to overlook intracranial tumors or other serious conditions, it is very important to perform neuroimaging in atypical cases of presumed glaucoma and other optic neuropathies
Lesions developing in association with an optic nerve develop unilaterally and are characterized by optic disc pallor, visual field (VF) defects, and OCT findings
Summary
Visual disturbances are frequently presenting symptoms of intracranial tumors. Initial symptoms are transient visual obscurations, visual loss, or visual field (VF) defects [1]. In order not to overlook intracranial tumors or other serious conditions, it is very important to perform neuroimaging in atypical cases of presumed glaucoma and other optic neuropathies. The aim of the present study was to characterize the wide range of clinically encountered situations of optic neuropathy associated with intracranial tumors. The IOP was 15 2a.4n.dC1a6sem4mHg, right and left eye, respectively. The patient is stable and continuously observed; the BCVA 2 years after surgery is the same, 1.0 and 0.4, right and left eye, respectively. -((yEEe)) aOOrCC-oTTldoofffooeppmttiicaclddeiisswcc wwasiitthhreRRfNeNrFFrLeLdmmeteoaassuourureermmceelnnitntssi..c because her NTG progressed Her BCVA was 0.5 and 1.0, right and left eye, respectively. Lesions developing in association with an optic nerve develop unilaterally and are characterized by optic disc pallor, VF defects, and OCT findings (their morphology may differ from classical glaucomatous defects)
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