Ophthalmology Training and Mentorship
A 48-year-old woman had an MRI to investigate proptosis of the right globe.
Short and precise.likee
Very useful clinically relevant short cases….. useful reminders of knowledge gaps.
Enjoyed taking the quiz, short and interesting
Your first question and answer are incorrect. This is an intraconal tumour and is not a pleomorphic adenoma. Also a lateral orbitotomy in the last question is incorrect as the tumour is located medially and a lateral approach means crossing the optic nerve.
Agree, the answer to the question states that this lesion is indeed intraconal and therefore UNLIKELY to be a pleomorphic adenoma of the lacrimal gland. In the images, the tumor is clearly seen to be INTRACONAL, situated within the rectus muscle cone lateral, superior and medial to the optic nerve.
I think you might have misunderstood the question. If I remember correctly, they were asking for what it was least likely to be…
You are correct👍
Proptosis rt globe due to meningioma of optic nerve may be the answer.
Agree. Please see the answers to the questions where this is discussed.
Thank you for good case
Good information 👍
Good case for review before exam
Good case and good quiz.
Wait for more case quiz in oculoplasty.