Treatment of Compressive Optic Neuropathy by Recurred Maxillary Cancer Using Stereotactic Radiosurgery: A Case Report.
10.3341/jkos.2012.53.8.1208
- Author:
Sang Yul CHOI
1
;
Sang Min YOUN
Author Information
1. Department of Ophthalmology, Korea Institute of Radiological & Medical Sciences, Seoul, Korea. cedere@hanmail.net
- Publication Type:Case Report
- Keywords:
Compressive;
Neuropathy;
Optic;
Radiosurgery;
Stereotactic
- MeSH:
Color Vision;
Color Vision Defects;
Ethmoid Sinus;
Eye;
Female;
Humans;
Middle Aged;
Optic Nerve Diseases;
Orbit;
Radiosurgery;
Skull Base;
Visual Acuity;
Visual Fields
- From:Journal of the Korean Ophthalmological Society
2012;53(8):1208-1211
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To report a case of a female patient treated with stereotactic radiosurgery for compressive optic neuropathy by recurred maxillary cancer. CASE SUMMARY: A 51-year-old woman with a history of maxillary cancer presented with decreased visual acuity and visual field and color vision defects in the right eye. The CT scan revealed a wide spread mass along the ethmoid sinus, orbit, optic canal, and skull base. Under the impression of compressive optic neuropathy, stereotactic radiosurgery was performed. A cumulative dose of 39 Gy in 3 daily fractions of 13 Gy was administered to the mass. After 10 days, visual acuity, color vision, and visual field improved and were maintained after a 2 month follow-up. CONCLUSIONS: Stereotactic radiosurgery could be another treatment option for patients with compressive optic neuropathy caused by a malignant tumor.
