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Gaze-evoked amaurosis produced by intraorbital buckshot pellet.

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.

journal_name

Ophthalmology

journal_title

Ophthalmology

authors

Danesh-Meyer HV,Savino PJ,Bilyk JR,Sergott RC,Kubis K

doi

10.1016/s0161-6420(00)00433-4

subject

Has Abstract

pub_date

2001-01-01 00:00:00

pages

201-6

issue

1

eissn

0161-6420

issn

1549-4713

pii

S0161-6420(00)00433-4

journal_volume

108

pub_type

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