Deepak Bhojwani, MS » 8-Mar-2021

Mar 8 2021 by Deepak Bhojwani, MS

A 27-year-old male presented with complaints of severe headache associated with progressive loss of vision in both eyes since last 2- 3 months. On ocular examination his visual acuity was no perception of light in both eyes with bilateral dilated pupils not reacting to light. Fundus examination revealed bilateral optic atrophy (Figures A &B). He was advised an MRI scan for neurological evaluation. The patient was advised to review with Neurologist after getting MRI scans and review again with us. To our surprise this young patient was harboring a massive brain tumor reported as glioblastoma multiforme by the radiologist (Figure C). He has been advised tumor resection and chemoreduction by the neuro-oncologist. This case highlights neurological evaluation of all patients with bilateral optic atrophy. The presenting complaint of headache also prompted us for getting neurological examination. So its rightly said : eyes are the window to the body.

Photographer: DEEPAK BHOJWANI

Imaging device: ZEISS VISUCAM 524

Condition/keywords: optic atrophy