An accidental diagnosis of optic nerve meningioma in a patient affected by thyroid eye disease
A 42-year-old woman presented to our hospital owing to a history of right-sided proptosis of 4 months duration, reporting no previous trauma, fever, or recent sinusitis. Her medical record included a diagnosis of Graves’ disease. The best corrected visual acuity (BCVA) was 20/20 and a 30.2 visual field test was normal. A 3-Tesla magnetic resonance imaging (MRI) revealed an orbital apex meningioma approaching the walls of the sulcus chiasmaticus. A subsequent 60.4 perimetry test showed bilateral nasal visual field defects, thus confirming the involvement of the optic nerve.