A dry, droopy and dilated eye: a neuro-ophthalmic case with correlation of signs and anatomical tumour spread.
Adenoid cystic carcinoma (ACC) has a propensity for perineural tumour spread. This report concerns a 51-year-old woman who presented with a unilateral red eye with reduced vision, ptosis and a non-reactive pupil. This patient had a maxillary sinus ACC with perineural spread, leading to the neuro-ophthalmic signs. She is currently being treated with radiotherapy.
Eye Department, Dunedin Public Hospital, Dunedin, New Zealand. nic_johnston@yahoo.com
Nicholas Robert
NR
Johnston
D015875:Anisocoria / Q000175:diagnosis*; D001763:Blepharoptosis / Q000175:diagnosis*; D003528:Carcinoma, Adenoid Cystic / Q000175:diagnosis*; D003390:Cranial Nerve Neoplasms / Q000175:diagnosis*; D003937:Diagnosis, Differential; D015352:Dry Eye Syndromes / Q000175:diagnosis*; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D008441:Maxillary Neoplasms / Q000175:diagnosis*; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009460:Neurologic Examination; D056739:Pterygopalatine Fossa; D014057:Tomography, X-Ray Computed; D020433:Trigeminal Nerve Diseases / Q000175:diagnosis*