Unusual Visual Presentation from Optic Neuropathy Secondary to Recurrent Oral Squamous Cell Carcinoma - Juniper Publishers - JOJ Ophthalmology

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Unusual Visual Presentation from Optic Neuropathy Secondary to Recurrent Oral Squamous Cell Carcinoma

Authored by James B Martel

A number of medical conditions may present to the emergency department involving a change or loss of vision. Many of these conditions are sudden in onset and may result in complete or partial loss of vision, such as stroke or multiple sclerosis. A 53 year old male with a past history of oral squamous cell carcinoma presented with a headache and changes in color hue in his right eye. CT imaging revealed recurrent oral squamous cell carcinoma involving the right sphenoid and ethmoid sinuses with extension into the right middle cranial fossa and orbit. It is important to note that a change in color vision may be from optic nerve dysfunction, which was found to be the case for this patient. The patient was diagnosed with optic neuropathy secondary to recurrent oral squamous cell carcinoma, which represents the first case report of such condition.

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