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Metastatic Gastric Carcinoma to the Optic Nerve
Jennie U. Sung, MD;
Byron L. Lam, MD;
Victor T. Curtin, MD;
David T. Tse, MD
Miami, Fla
Arch Ophthalmol. 1998;116:692-693.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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A 59-YEAR-OLD man noticed shadows in his left eye for 3 weeks. He had no other symptoms or previous ocular disease. Ocular examination findings revealed a visual acuity of 20/20 OD and hand motions OS, a left afferent pupillary defect, and disc edema in the left eye with peripapillary exudates and retinal hemorrhages. The presumed diagnosis was central retinal vein occlusion. One week later, the vision deteriorated to light perception in the left eye, and choroidal folds were noted during the fundus examination (Figure 1). An infiltrative process became the suspected diagnosis. Echographic findings showed marked elevation of the left optic disc (Figure 2). Magnetic resonance imaging demonstrated a thick ring of enhancement encircling the left optic nerve intraorbitally (Figure 3) that extended through the optic canal. The . . . [Full Text of this Article]COMMENT
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