Neuro-ophthalmology: Case six


This sixty five year-old man was on timoptol 0.25% bd for bilateral low tension glaucoma. His recent visual field showed deterioration in both eyes. A MRI was requested and is shown as above.

a. What does the MRI scan show?

b. What ocular signs and symptoms may be present?

c. What extra-ocular signs may be present?

d. What treatment options are available?

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