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Related Experiment Videos

Optic nerve head problem.

Rohan Verma1, Kevin C Chen1, Hema L Ramkumar1

  • 1Department of Ophthalmology, University of California, San Diego, California, USA.

Survey of Ophthalmology
|October 13, 2017
PubMed
Summary
This summary is machine-generated.

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A 68-year-old woman with a history of breast cancer developed optic disk metastasis. Imaging confirmed a peripapillary mass, diagnosed as breast carcinoma metastasis to the optic nerve.

Area of Science:

  • Ophthalmology
  • Oncology
  • Medical Imaging

Background:

  • Breast cancer is a common malignancy with potential for distant metastasis.
  • Optic nerve involvement is a rare but serious complication of metastatic cancer.
  • Metastasis to the optic disk can present with visual disturbances.

Observation:

  • A 68-year-old woman with a history of breast cancer and bone metastases presented with blurred vision in the left eye.
  • Ophthalmic examination revealed an isolated peripapillary mass on the optic nerve head.
  • Advanced imaging techniques including angiography, ultrasound, OCT, and MRI were utilized.

Findings:

  • Indocyanine green and fluorescein angiography showed vascularity and leakage within the mass.
  • B-scan ultrasound identified a hyperechoic, elevated nodular mass on the optic disc.
Keywords:
breast carcinomaocular metastasisoptic nerve head massoptic nerve metastasis

Related Experiment Videos

  • Spectral-domain optical coherence tomography revealed a mass composed of spherules.
  • Brain MRI confirmed metastatic tumors, consistent with systemic spread.

    • Implications:

    • This case highlights the importance of considering metastatic disease in patients with a history of cancer presenting with ocular symptoms.
    • Optic disk metastasis from breast carcinoma requires prompt diagnosis and management.
    • Multimodal imaging is crucial for characterizing optic nerve head masses and guiding treatment decisions.