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July 1989

Orbital Optic Nerve Glioma in Adult Life

Author Affiliations

From the Scheie Eye Institute, University of Pennsylvania, Philadelphia (Dr Wulc); the Southeast Eye Center, Greensboro, NC (Dr Bergin); the Institute of Neurology, London, England (Drs Barnes and Scaravilli); and Moorfields Eye Hospital, London, England (Drs Wright and McDonald).

Arch Ophthalmol. 1989;107(7):1013-1016. doi:10.1001/archopht.1989.01070020075033

• In seven cases, optic nerve glioma presented as an expanding orbital mass in previously asymptomatic adults. Clinically and histologically, these tumors were similar to the orbital optic nerve gliomas of childhood; in contrast to the rapidly progressive malignant gliomas of the chiasm well described in adults, the patients with these tumors had a more benign clinical course. Management of optic nerve glioma in adulthood should be conservative in the presence of useful vision.