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A 16-year-old girl with bilateral optic disc swelling
Digital Journal of Ophthalmology 2011
Volume 17, Number 1
March 12, 2011
DOI: 10.5693/djo.03.2011.02.003
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Usman Mahmood, MB BS, MRCS Ed | Wolverhampton and Midland Counties Eye Infirmary
Syed M Asad Ali, MB BS, MRCS Ed | New Cross Hospital
Mohammad Samir Dowlut, MB ChB | New Cross Hospital
Bala Manoj, FRCS, MRCOphth, MS, DO | New Cross Hospital
Treatment
The abdominal cyst was surgically removed. Exploratory laporotomy revealed an ovarian cyst weighing approximately 12 kg. A right salpingo-oopherectomy was performed and histology revealed a serous cystadenoma. Following surgery, her hypertension resolved, and she maintained excellent vision. The disc swelling showed evidence of improvement, with faintly positive spontaneous venous pulsations. Her visual fields improved in both eyes and have remained static (Figure 4). At 2 months follow-up, abdominal ultrasound revealed a left ovarian cyst, which is being monitored by serial ultrasound scans at four-month intervals since the last 2 years.
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Figure 4
Results of Goldmann visual field testing of right eye (A) and left eye (B) after removal of cyst.