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Compressive Optic Neuropathy

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Compressive optic neuropathy occurs when your optic (vision) nerve has been damaged from compression by tumors – such as meningioma (usually non-cancerous tumor that develops in the membranes surrounding the brain and spinal cord), pituitary adenoma (non-cancerous tumors in the pituitary gland that don’t grow beyond the skull), craniopharyngioma (non-cancerous tumors of embryonic structures around the pituitary gland) – or by orbital inflammatory conditions such as thyroid eye disease.

Symptoms of compressive optic neuropathy include:

  • Blurred vision
  • Decreased color perception
  • Eye pressure
  • Partial or complete loss of vision

If you have a tumor, inflammation caused by a medical condition like thyroid disease, you are at an increased risk for developing compressive optic neuropathy. Pituitary tumors are one fairly common cause of compressive optic neuropathy.

Tests

Comprehensive Exam - Your doctor will conduct a thorough physical examination of your eyes – as well as gather a complete health history – to determine if you have compressive optic neuropathy.

Imaging Your doctor may recommend you undergo magnetic resonance imaging (MRI) or computerized tomography (CT) scan to confirm the damage to your optic nerve.

Optical coherence tomography The test measures the thickness of the cell layers and nerve fibers that make up the optic nerves to check for optic nerve damage.

Visual field A visual field test assesses both central and peripheral vision.

Treatments

Corticosteroids Your doctor may prescribe corticosteroid medication to help reduce inflammation associated with compressive optic neuropathy.

Surgery Your ophthalmologist may recommend you undergo surgery to relieve your symptoms related to this condition. Known as orbital decompression, this surgery involves removing the tumor that is causing the compression and decreasing pressure on the nerve.

Radiation Therapy If a malignant (cancerous) lesion has caused the nerve damage, you may need to undergo radiation therapy to reduce the lesion.


Why Choose Bascom Palmer Eye Institute?

Ranked #1 by U.S. News & World Report. Bascom Palmer Eye Institute, part of the University of Miami Health System, is the top-ranked eye care facility in America, according to U.S. News & World Report. When you choose us for vision care, you receive the finest, patient-focused care in the nation.

Multidisciplinary approach. If you have a complex eye condition, your eye care must be comprehensive. Our eye doctors represent every ophthalmic sub-specialty, ensuring you the most thorough and effective treatments.

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