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Improved Vision from Severe Compressive Optic Neuropathy by Apical Cavernous Hemangioma

A 59-year-old woman had a 1-year history of right vision loss. Her visual acuity was then 0.01 OD, and the critical flicker frequency (CFF) was 8 Hz OD. Goldmann perimetry examination showed inferior suppression of the right visual field center. Funduscopic examination revealed normal coloring of th...

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Autores principales: Kang, Hyera, Takahashi, Yasuhiro, Nishimura, Kunihiro, Yasuda, Muneyoshi, Akutsu, Hiroyoshi, Kakizaki, Hirohiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4836141/
https://www.ncbi.nlm.nih.gov/pubmed/27099610
http://dx.doi.org/10.1159/000445316
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author Kang, Hyera
Takahashi, Yasuhiro
Nishimura, Kunihiro
Yasuda, Muneyoshi
Akutsu, Hiroyoshi
Kakizaki, Hirohiko
author_facet Kang, Hyera
Takahashi, Yasuhiro
Nishimura, Kunihiro
Yasuda, Muneyoshi
Akutsu, Hiroyoshi
Kakizaki, Hirohiko
author_sort Kang, Hyera
collection PubMed
description A 59-year-old woman had a 1-year history of right vision loss. Her visual acuity was then 0.01 OD, and the critical flicker frequency (CFF) was 8 Hz OD. Goldmann perimetry examination showed inferior suppression of the right visual field center. Funduscopic examination revealed normal coloring of the right optic disc. Imaging studies showed an apical oval tumor. The optic nerve was compressed by both the tumor and the superior rectus muscle/levator palpebrae superioris complex. The tumor was dissected from the surrounding tissues and completely extracted. Histopathologic examination confirmed a cavernous hemangioma. The patient underwent three cycles of postoperative steroid pulse therapy. One year after the surgery, her visual acuity and CFF improved to 1.0 and 32 Hz OD, respectively. Her right visual field was within the normal range.
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spelling pubmed-48361412016-04-20 Improved Vision from Severe Compressive Optic Neuropathy by Apical Cavernous Hemangioma Kang, Hyera Takahashi, Yasuhiro Nishimura, Kunihiro Yasuda, Muneyoshi Akutsu, Hiroyoshi Kakizaki, Hirohiko Case Rep Ophthalmol Published online: March, 2016 A 59-year-old woman had a 1-year history of right vision loss. Her visual acuity was then 0.01 OD, and the critical flicker frequency (CFF) was 8 Hz OD. Goldmann perimetry examination showed inferior suppression of the right visual field center. Funduscopic examination revealed normal coloring of the right optic disc. Imaging studies showed an apical oval tumor. The optic nerve was compressed by both the tumor and the superior rectus muscle/levator palpebrae superioris complex. The tumor was dissected from the surrounding tissues and completely extracted. Histopathologic examination confirmed a cavernous hemangioma. The patient underwent three cycles of postoperative steroid pulse therapy. One year after the surgery, her visual acuity and CFF improved to 1.0 and 32 Hz OD, respectively. Her right visual field was within the normal range. S. Karger AG 2016-03-31 /pmc/articles/PMC4836141/ /pubmed/27099610 http://dx.doi.org/10.1159/000445316 Text en Copyright © 2016 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Published online: March, 2016
Kang, Hyera
Takahashi, Yasuhiro
Nishimura, Kunihiro
Yasuda, Muneyoshi
Akutsu, Hiroyoshi
Kakizaki, Hirohiko
Improved Vision from Severe Compressive Optic Neuropathy by Apical Cavernous Hemangioma
title Improved Vision from Severe Compressive Optic Neuropathy by Apical Cavernous Hemangioma
title_full Improved Vision from Severe Compressive Optic Neuropathy by Apical Cavernous Hemangioma
title_fullStr Improved Vision from Severe Compressive Optic Neuropathy by Apical Cavernous Hemangioma
title_full_unstemmed Improved Vision from Severe Compressive Optic Neuropathy by Apical Cavernous Hemangioma
title_short Improved Vision from Severe Compressive Optic Neuropathy by Apical Cavernous Hemangioma
title_sort improved vision from severe compressive optic neuropathy by apical cavernous hemangioma
topic Published online: March, 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4836141/
https://www.ncbi.nlm.nih.gov/pubmed/27099610
http://dx.doi.org/10.1159/000445316
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