Gaze-evoked amaurosis produced by intraorbital buckshot pellet.

Publication/Presentation Date

1-1-2001

Abstract

OBJECTIVE: To report the first case of gaze-evoked amaurosis secondary to an intraocular foreign body and to highlight the characteristic clinical findings of patients with this symptom.

DESIGN: Case report and review of the literature.

METHODS: Case review, clinical history, electrophysiologic testing, and follow-up.

MAIN OUTCOME MEASURES: Visual acuity, automated perimetry, and visual fields.

RESULTS: A case of gaze-evoked amaurosis as a result of an intraorbital foreign body is described, and 19 additional cases of gaze-evoked amaurosis are reviewed from the English language literature. These cases share certain characteristics including good vision in primary position with deterioration of vision in eccentric gaze; concurrent objective pupillary abnormalities in eccentric gaze; stereotypic onset and recovery of vision; and funduscopic abnormalities consisting of disc edema and chorioretinal folds.

CONCLUSIONS: Gaze-evoked amaurosis is a reliable sign of intraconal mass lesion. We report the first case of gaze-evoked amaurosis secondary to an intraorbital foreign body.

Volume

108

Issue

1

First Page

201

Last Page

206

ISSN

0161-6420

Disciplines

Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods

PubMedID

11150290

Department(s)

Administration and Leadership

Document Type

Article

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