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Orbital Osteoma With Gaze-Evoked Amaurosis
Patrick Sibony, MD;
Maisie Shindo, MD
Stony Brook, NY
Arch Ophthalmol. 2004;122:788.
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A 54-year-old woman complained of repeated episodes of painless, gaze-evoked amaurosis of the right eye of 3 months' duration. Within 20 seconds after abduction of her right eye, her visual field would rapidly constrict from the periphery toward the center. On resuming primary eye position, her vision returned to normal within 30 seconds. She had a medical history of "sinus problems" but was otherwise healthy.
Acuity, color vision, pupils, eye movements, and visual fields were normal. She had 3 mm of proptosis in her right eye. On abduction her vision deteriorated to no light perception OD; the pupil slightly enlarged and became unresponsive to light. Intraocular pressure was 20 mm Hg OU and it increased to 50 mm Hg OD on abduction. A computed tomographic scan showed a 3-cm calcific mass in the ethmoid sinus and anterior medial orbit (Figure 1). The . . . [Full Text of this Article]
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