Combined Transcranial-supraorbital and Transconjunctival Approach for Optic Nerve Coloboma with Ophthalmic Dysplasia Associated with Rheumatoid Arthritis.

cloudy cornea ocular prosthetic ophthalmectomy ophthalmic dysplasia optic nerve coloboma

Journal

NMC case report journal
ISSN: 2188-4226
Titre abrégé: NMC Case Rep J
Pays: Japan
ID NLM: 101692589

Informations de publication

Date de publication:
Jan 2020
Historique:
received: 26 12 2018
accepted: 20 05 2019
entrez: 16 1 2020
pubmed: 16 1 2020
medline: 16 1 2020
Statut: epublish

Résumé

We report a 59-year-old woman with optic nerve coloboma and ophthalmic dysplasia associated with rheumatoid arthritis. She experienced progressive visual dysfunction over the course of several years and presented with headache and pain in the left eye. Since infancy the visual acuity of her left eye had been compromised and her eyesight worsened gradually until she was blind in the left eye. Macroscopic observation showed a reddish lesion on the sclera thought to be due to rheumatoid arthritis (RA). Magnetic resonance imaging and computed tomography disclosed a well-defined cystic lesion at the left retro-bulbar optic nerve within the optic nerve sheath. We selected the combined transcranial-supraorbital and transconjunctival approach to remove the eyeball after detaching the optic nerve. This technique was successful and the placement of an ocular prosthetic was cosmetically acceptable.

Identifiants

pubmed: 31938674
doi: 10.2176/nmccrj.cr.2018-0302
pii: nmccrj-7-1
pmc: PMC6957772
doi:

Types de publication

Case Reports

Langues

eng

Pagination

1-4

Informations de copyright

© 2020 The Japan Neurosurgical Society.

Déclaration de conflit d'intérêts

Conflicts of Interest Disclosure None of the author declares a conflict of interest.

Références

J AAPOS. 2012 Feb;16(1):5
pubmed: 22370657
Arch Soc Esp Oftalmol. 2016 Apr;91(4):184-7
pubmed: 26850327
Arch Ophthalmol. 2011 Jan;129(1):69-74
pubmed: 21220631
Neurosurgery. 1981 Aug;9(2):166-8
pubmed: 7266816
Acta Neurochir Suppl. 2005;94:17-21
pubmed: 16060236
Int J Ophthalmol. 2014 Aug 18;7(4):677-80
pubmed: 25161942
Br J Ophthalmol. 1976 Mar;60(3):192-226
pubmed: 1268180
Ann Rheum Dis. 1971 Jul;30(4):343-7
pubmed: 4326763
Surv Ophthalmol. 2000 Jan-Feb;44(4):277-301
pubmed: 10667436
Bosn J Basic Med Sci. 2010 Nov;10(4):323-7
pubmed: 21108616
Saudi Med J. 2015 Oct;36(10):1205-9
pubmed: 26446332
J Neurosurg. 1994 Jul;81(1):78-86
pubmed: 8207530
J AAPOS. 2017 Feb;21(1):73-75
pubmed: 27866070
Ophthalmology. 1999 Dec;106(12):2380-6
pubmed: 10599675

Auteurs

Tomoko Hanada (T)

Department of Neurosurgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Kagoshima, Japan.

Ryosuke Hanaya (R)

Department of Neurosurgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Kagoshima, Japan.

Fauziah Chaira Ummah (FC)

Department of Neurosurgery, Diponegoro University, Semarang, Indonesia.

Taro Kamisasanuki (T)

Department of Ophthalmology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Kagoshima, Japan.

Mari Kirishima (M)

Department of Pathology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Kagoshima, Japan.

Akihide Tanimoto (A)

Department of Pathology, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Kagoshima, Japan.

Kazunori Arita (K)

Department of Neurosurgery, Izumi Regional Medical Center, Izumi, Kagoshima, Japan.

Koji Yoshimoto (K)

Department of Neurosurgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Kagoshima, Japan.

Classifications MeSH