Monocular Vision Loss: A Rare Cause

Author:

Lane David1,Pomeranz Kaila1,Findlay Shannon1,Miller Daniel1

Affiliation:

1. University of Iowa Hospitals and Clinics, Department of Emergency Medicine, Iowa City, Iowa

Abstract

A 62-year-old woman with a history of metastatic breast cancer and known meningioma presented with unilateral vision loss associated with anisocoria and an afferent pupillary defect. On magnetic resonance imaging we found the cause to be optic nerve compression by a right frontal meningioma. Monocular vision-loss etiologies are anatomically localized to structures anterior to the optic chiasm. This case serves as a reminder that cerebral structures in this location must not be forgotten in the differential.

Publisher

Western Journal of Emergency Medicine

Subject

General Medicine

Reference2 articles.

1. Leveque T, Trobe J, Givens, J. Up To Date: Smarter Approach to the adult with acute persistent visual loss. Available at: https://www.uptodate.com/contents/approach-to-the-adult-with-acute-persistent-visual-loss?search=monocular vision loss&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2. 2017. Accessed January 17, 2019.

2. Newell FW and Beaman TC. Ocular signs of meningioma. Am J Ophthalmol. 1958;45(1):30-40.

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