Medical Subject Headings
Male; Middle Aged; Optic Disk; Optometrists; Incidental Findings; Pharynx; Vision; Disorders; Orbital Diseases; Surgeons; Edema; Neuroimaging; Multimodal Imaging; Hemangioma, Cavernous
Abstract
Background: Primary and secondary orbital diseases can arise from different tissues in the periorbital regions as space-occupying lesion leading to ophthalmic symptoms. Therefore, eye care providers are often the first encounter for these patients.
Case report: A 54-year-old Caucasian male presented as a new patient at the eye clinic with an incidental finding of edema of the left optic disc. After a thorough optometric evaluation, a referral was made to a local ear-nose-throat (ENT) specialist who confirmed a diagnosis of cavernous hemangioma by further neuroimaging. Surgical removal eventuated in resolution of disc edema with restoration of vision.
Conclusion: An insidious and asymptomatic cavernous hemangioma can lead to irreversible vision loss and require surgical excision. Comprehensive ophthalmic examination and multimodal imaging are essential in early detection and timely management. A health care team consisting of an ENT surgeon, neuroradiologist and optometrist was necessary to manage this orbital space-occupying lesion successfully.
Recommended Citation
Koh LV, Wells A, Jansen L. A Space-Occupying Lesion Manifesting as Unilateral Optic Disc Edema. Optometric Clinical Practice. 2025; 7(1):11. https://doi.org/10.37685/uiwlibraries.2575-7717.7.1.1034
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Digital Object Identifier (DOI)
10.37685/uiwlibraries.2575-7717.7.1.1034
Included in
Optometry Commons, Other Medical Specialties Commons, Other Medicine and Health Sciences Commons, Radiology Commons