An optometric purview of intraorbital meningioma

Am J Optom Physiol Opt. 1984 Apr;61(4):274-8. doi: 10.1097/00006324-198404000-00008.


A 34-year-old black male presented with marked unilateral proptosis and pain in the left eye. Visual acuities were OD 6/7.5 (20/25) and OS 6/120 (20/400). His left eye was exophthalmic , had a Marcus Gunn pupil, and exposure keratitis. Sectorial pallor and a decreased Kestenbaum count were evident on the left optic nerve head. A tentative diagnosis of orbital meningioma was made and later confirmed. Optometric management of the patient, including appropriate screening tests and referrals, are discussed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Exophthalmos / diagnosis
  • Humans
  • Male
  • Meningeal Neoplasms / diagnosis*
  • Meningioma / diagnosis*
  • Orbital Neoplasms / diagnosis*
  • Scotoma / diagnosis
  • Tomography, X-Ray Computed
  • Visual Fields