Gaze-evoked amaurosis: a report of five cases

Gaze-evoked amaurosis with cavernous sinus meningioma

“…Gaze evoked amaurosis is a rare symptom usually explained by vascular compromise of the retina or optic nerve in an eccentric gaze position caused by orbital and even intracranial disease (optic nerve sheath meningioma, 1,2 intraconal cavernous haemangioma, 1,2 orbital birdshot pellet, 3 dysthyroid orbitopathy, 4 pseudotumour cerebri, 5 orbital fracture, 6 nasopharyngeal angiofibroma, 6 idiopathic intracranial hypertension, 7 intracranial aneurysm). 8 We report a patient with cavernous sinus meningioma who presented with symptoms of loss of vision of the right eye in right gaze.…”

Transient Visual Loss

“…74,75 Episodes classically occur when the eye adopts a certain eccentric gaze position; this so-called gaze-evoked amaurosis rapidly remits once the eye moves out of the offending gaze position. There are www.internat-ophthalmology.com usually obvious signs of orbital disease on examination or a history of trauma or penetrating injury.…”

Transient Vision Loss

“…Specific attention should be directed toward the patient with symptoms of brief TVL when the eye is moved, a symptom commonly described as gaze-evoked TVL. This symptom indicates a tumor in the orbit in many cases (Otto et al, 2003). As the globe is moved dragging the optic nerve over the tumor, compression occurs, resulting in brief episodes of TVL that resolve when the globe is moved back into a neutral position.…”