An Unusual Optic Neuropathy in a Young Man

Blurred vision and pain above right eyeA 28-year old male with a 6-week history of blurred vision and pain above the right eye as a consequence of a blow to the head.VA: 20/25 OD, 20/20 OS; RAPD ODCTSwollen optic disc with necrotic infiltratesSteroids; Surgery; XRT; Intrathecal antineoplastic antimetabolites1. Kline LB, Garcia JH, Harsh GR: Lymphomatous Optic Neuropathy. Arch Ophthalmol 1984: 102; 1655-1657. 2. Purvin V, Van Dyk HJL: Primary Reticulum Cell Sarcoma of the Brain Presenting as Steroid-Responsive Optic Neuropathy. J Clin. Neuro-Ophthalmol1984: 4; 15-23. 3. Kay MC: Optic Neuropathy Secondary to Lymphoma. J Clin. Neuro-Ophthalmol 1986: 6; 31-34. 4. Bullock JD, Yares B, Kelly M, McDonald L: Non-Hodgkins Lymphoma Involving the Optic Nerve. Ann Ophthalmol 1979: 11; 1477-1480. 5. Walsh FB, Shewmake BJ : An Unusual Case of Reticulum Cell Sarcoma. Am J. Ophthalmol 1972: 74; 741-743. 6. Kraus AM, O'Rourke J: Lymphomatous Optic Neuritis. Arch Ophthalmol 1963: 70; 173-175. 7. Kattah JC, Suski ET, Killen JY, et al : Optic Neuritis and Systemic Lymphoma. Am J. Ophthalmol. 1980: 89; 431-436. 8. Miller NR, Iliff WJ: Visual Loss As The Initial Symptom in Hodgkin Disease. Arch Ophthalmol 1975: 93; 1158-1161. 9. Litvak J, Leder MM, Kauver AJ : Hodgkin's Disease Involving Optic Nerve and Brain. J. Neurosurg 1964: 21; 798-801. 10. Garrity JA, Kennerdell JS: Bilaterally Enlarged Extraocular Muscles and Thickened Optic Nerve Sheaths. Frank B. Walsh Society (18th) 1986. 11. Kansu T, Orr LS, Savino PJ, Schatz NJ, Corbett J J: Optic Neuropathy as Initial Manifestation of Lymphoreticular Diseases. Neuro-Ophthalmology Focus 1980, JL Smith ed. Masson, New York, 1980: pp. 125-136. 12. Todd FD, Miller CA, Yates AJ, Mervis LJ : Steroid-Induced Remission in Primary Malignant Lymphoma of the Central Netvous System. Surg Neurol 1986: 26; 79-84. 13. Kikuchi K, Watanabe K, et. al: Steroid-Induced Regression of Primary Malignant Lymphoma of the Brain. Surg Neurol 1986: 26; 291-296