Clinical Case Database / Category: Patient Management

Proptosis with a swollen optic nerve: an optic nerve tumour

Publication details

Mr Amanjeet Sandhu, Mr Eric Barnes
Foundation Years Journal, volume 7, issue 3, p.32 (123Doc Education, London, March 2013)


It is not uncommon to be confronted with a patient with either proptosis or a swollen optic nerve. There are instances when these two important clinical signs may present together. In this case one wishes to highlight the significant elements of the history, the essential clinical signs to elicit, and an appropriate process to follow in order to reach a correct diagnosis and management approach.

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Mr Amanjeet Sandhu

Specialist Trainee in Ophthalmology
Royal Victoria Infirmary

Mr Eric Barnes

Consultant Ophthalmologist
Royal Victoria Infirmary


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2. Liu GT, Volpe NJ, Galetta SL. Neuro-Ophthalmology Diagnosis and Management. 1st ed. Pennsylvania: WB Saunders, 2001: 103-187.
3. Dutton JJ. Optic nerve sheath meningiomas. Surv Ophthal 1992; 37:167-183.
4. Turbin RE, Thompson CR, Kennerdell JS et al. A long-term visual outcome comparison in patients with optic nerve sheath mengioma managed with observation, surgery, radiotherapy, or surgery and radiotherapy. Ophthalmology 2002; 109:890-900.
5. Shields JA, Shields CL Scartozzi R. Survey of 1264 patients with orbital tumours and simulating lesions. Ophthalmology 2004; 111:997-1008.


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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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