Acta Scientific Ophthalmology (ISSN: 2582-3191)

Case Report Volume 6 Issue 3

Acute Strabismus as the First Sign of Optic Nerve Glioma - Diagnostic Challenge

Biljana Trajkovic1* and Ivana Todorovic2

1KBC Zvezdara Eye Clinic, "Dr. Ivan Stankovic", Faculty of Medical Science, Kosovska Mirtovica, Serbia
2KBC Zvezdara Eye Clinic, "Dr. Ivan Stankovic", Belgrade, Serbia

*Corresponding Author:Biljana Trajkovic, KBC Zvezdara Eye Clinic, "Dr. Ivan Stankovic", Faculty of Medical Science, Kosovska Mirtovica, Serbia..

Received: January 21, 2023; Published: February 07, 2023


Introduction: Gliomas of the optic pathway are benign tumors of the CNS that primarily affect children. Optic gliomas are rare. The cause of optic gliomas is unknown. It occurs as part of neurofibromatosis. Glioma itself can affect any part of the optical system.

Method: Presentation of a 18 months old girl with acute strabismus as the first sing of optic nerve glioma. Detected by ultrasound examination and confirmed by magnetic resonance.

Case Report: Parents bring a small child-girl, 18 months old, for examination.

Due to the acute outward turning of the right eye, in the last month. Take an anamnestic.

Receives information about "café au lait" spots on the body (spots the color of white coffee) with suspicion to neurofibromatosis type. On the fundus of the right eye edema of the optic nerve, the left optic nerve fundus is temporally pale. On ultrasound a large orbital mass is detected in the region of the optic nerve of the right eye.

Conclusion: The aim is to diagnose and treat all children's ophthalmological diseases an interdisciplinary approach that leads to timely diagnosis and visual preservation functions.

Keywords: Glioma; Strabismus; Neurofibromatosis; Optic Nerve; Ultrasound


  1. Binning, MJ., et al. “Optic pathway gliomas: A review”. Neurosurgery Focus 23 (2007): E2.
  2. Halliday G., et al. “Theophylline in vision-impaired children with optic pathway glioma”. Pediatric Blood Cancer 65 (2018): S434-S435.
  3. Ertiaei A., et al. “Optic pathway gliomas: Clinical manifestation, treatment, and follow-up”. Pediatric Neurosurgery 51 (2016): 223-228.
  4. Chong AL., et al. “Optic pathway gliomas in adolescence-time to challenge treatment choices?” Neuro-Oncology 15 (2013): 391-400.
  5. Hidalgo ET., et al. “Long-term clinical and visual outcomes after surgical resection of pediatric pilocytic/pilomyxoid optic pathway gliomas”. Journal of Neurosurgery: Pediatrics 24 (2019): 166-173.


Citation: Biljana Trajkovic and Ivana Todorovic. “Acute Strabismus as the First Sign of Optic Nerve Glioma - Diagnostic Challenge".Acta Scientific Ophthalmology 6.3 (2023): 14-16.


Copyright: © 2022 Biljana Trajkovic and Ivana Todorovic. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


Acceptance rate35%
Acceptance to publication20-30 days
ISI- IF1.042
JCR- IF0.24

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