Gaze-evoked amaurosis: a report of five cases.
OBJECTIVE
To highlight the various causes of gaze-evoked amaurosis.


METHODS
Retrospective noncomparative interventional case series.


METHODS
Five patients treated at our facility over the past 6 years.


METHODS
Clinical presentation, radiologic studies, surgical management, and postsurgical results are presented.


METHODS
Visual acuity, clinical findings of gaze-evoked amaurosis.


RESULTS
Only two patients had classic intraorbital etiologies, one with an intraconal cavernous hemangioma and one with an intraconal foreign body. Three patients had extraorbital processes, two with orbital fractures and one with a sinus tumor. Only two of our patients initially were aware of the gaze-evoked amaurosis at presentation. Appropriate surgery was curative in all cases.


CONCLUSIONS
Gaze-evoked amaurosis is a rare condition, classically implicating intraconal orbital pathology. In one of the largest case series published to date, we found extraorbital etiologies are also capable of producing gaze-evoked vision loss. Gaze-evoked amaurosis should be suspected and tested for in any orbital condition.
Otto
Clifton S
CS
Department of Ophthalmology, Madigan Army Medical Center, Tacoma, WA 98431, USA.
Coppit
George L
GL
Mazzoli
Robert A
RA
Eusterman
Vincent D
VD
Nixon
Karen L
KL
Ainbinder
Darryl J
DJ
Raymond
William R
WR
Krolicki
Thaddeus J
TJ
Grazko
Marybeth A
MA
Hansen
Elizabeth A
EA
D000293:Adolescent; D000328:Adult; D018322:Angiofibroma / Q000150:complications / Q000473:pathology / Q000601:surgery; D001766:Blindness / Q000209:etiology*; D005129:Eye Foreign Bodies / Q000150:complications / Q000473:pathology / Q000601:surgery; D005133:Eye Movements; D005260:Female; D006392:Hemangioma, Cavernous / Q000150:complications / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008440:Maxillary Fractures / Q000150:complications / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D009303:Nasopharyngeal Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D015835:Ocular Motility Disorders / Q000209:etiology; D009915:Orbit / Q000293:injuries; D009917:Orbital Fractures / Q000150:complications / Q000473:pathology / Q000601:surgery; D009918:Orbital Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D015051:Zygomatic Fractures / Q000150:complications / Q000473:pathology / Q000601:surgery