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April 1985

Occlusion Therapy for Optic Nerve Glioma

Author Affiliations

Albany, NY

Arch Ophthalmol. 1985;103(4):475-476. doi:10.1001/archopht.1985.01050040017003

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To the Editor.  —We would like to emphasize a point made by Dr Kushner1 in the May 1984 issue concerning functional amblyopia associated with optic nerve glioma. We recently encountered a patient with decreased visual acuity and a presumed optic nerve glioma. Occlusion therapy resulted in a marked improvement of visual acuity.

Report of a Case.  —A 20-month-old infant with neurofibromatosis was seen for an intermittent right exotropia that was first noted several months prior to our examination. He had been otherwise healthy, except for mild developmental delay. The examination revealed a strong visual preference for the left eye. A variable right intermittent exotropia of 25 to 30 prism diopters was present. Cycloplegic refraction was +1.00+0.25×80 OD and +2.50+0.75×180 OS. Several small neurofibromas were present on the skin of the left medial canthus and left upper lid. The remainder of the examination results were normal. The patient was given

Kushner BJ:  Functional amblyopia associated with abnormalities of the optic nerve . Arch Ophthalmol 1984;102:683-685.Article
Jakobiec FA, Depot MS, Kennerdell JS, et al:  Combined clinical and computed tomographic diagnosis of orbital glioma and meningioma . Ophthalmology 1984;91:137-155.Article
Hoyt WF, Baghdassarian SA:  Optic glioma of childhood: Natural history and rationale for conservative management . Br J Ophthalmol 1969; 53:793-798.Article
Spencer WH:  Diagnostic modalities and natural behavior of optic nerve gliomas . Ophthalmology 1979;86:881-885.Article
Wright JE, McDonald WI, Call NB:  Management of optic nerve gliomas . Br J Ophthalmol 1980;64:545-552.Article