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Compressive lesions
Author(s) -
KAWASAKI A
Publication year - 2012
Publication title -
acta ophthalmologica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.534
H-Index - 87
eISSN - 1755-3768
pISSN - 1755-375X
DOI - 10.1111/j.1755-3768.2012.2731.x
Subject(s) - optic neuritis , medicine , lesion , optic nerve , multiple sclerosis , radiology , surgery , ophthalmology , psychiatry
Purpose To learn about compressive lesions which can mimic optic neuritis Methods Case presentations Results Idiopathic demyelinating optic neuritis is an acute unilateral optic neuropathy associated with pain. Compressive lesions are typically distinguished by chronic, progressive visual loss that is painless. Sometimes, a compressive lesion will manifest itself acutely and can be mistaken for optic neuritis. Focal inflammatory mass at the orbital apex (orbital pseudotumor) , lesions of the optic canal , expanding ophthalmc artery aneurysm, and infarction of an undiagnosed pituitary tumor (apoplexy) are examples of a compressive mass lesion that can present as an acute painful optic neruopathy. The clinical features of these entities will be discussed along with pearls for. suspecting the correct diagnosis. Conclusion Careful history and examination can reveal important clues for distinguishing compressive lesion from optic neuritisCommercial interest