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Rare disease
A dry, droopy and dilated eye: a neuro-ophthalmic case with correlation of signs and anatomical tumour spread
  1. Nicholas Robert Johnston
  1. Eye Department, Dunedin Public Hospital, Dunedin, New Zealand
  1. Correspondence to Nicholas Robert Johnston, nic_johnston{at}yahoo.com.

Summary

Adenoid cystic carcinoma (ACC) has a propensity for perineural tumour spread. This report concerns a 51-year-old woman who presented with a unilateral red eye with reduced vision, ptosis and a non-reactive pupil. This patient had a maxillary sinus ACC with perineural spread, leading to the neuro-ophthalmic signs. She is currently being treated with radiotherapy.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.