A 84 year-old man
presented with a rapid onset left proptosis and ptosis. The vision was 6/24
in the right eye and 6/60 in the left eye. A left afferent pupillary defect
was present. Slit-lamp showed no choroidal masses and the intraocular
pressures in both eyes were normal.
The patient gave a history
of recurrent bleeding per rectum. A CT scan showed a left orbital mass
involving the optic nerve. Colonoscopic examination and biopsy by the
gastroenterologist showed an ulcerative colonic tumour. The patient would be
referred to oncologist for possible orbital radiation to control the growth
but before then another body scan was arranged for staging of the colonic
tumour.
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Left proptosis with ptosis.
Left orbital mass.
Colonoscopic appearance of a
colonic carcinoma.
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Next Neuro-ophthalmology
Case |
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