Case report reveals optometric management of intraorbital meningioma in a 34-year-old male, highlighting diagnostic challenges.
A 34‐year‐old black male presented with marked unilateral proptosis and pain in the left eye. Visual acuities were OD 6/7.5 (20/25) and OS 6/120 (20/400). His left eye was exophthalmic, had a Marcus Gunn pupil, and exposure keratitis. Sectorial pallor and a decreased Kestenbaum count were evident on the left optic nerve head. A tentative diagnosis of orbital meningioma was made and later confirmed. Optometric management of the patient, including appropriate screening tests and referrals, are discussed.
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PAULA R. NEWSOME (1984) studied this question.
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