Dr. MARIAN PAULY

DR. SHEBIN SALIM, Dr. MARIAN PAULY

Abstract

Optic nerve gliomas are benign optic nerve tumors. We report two cases of progressive optic nerve glioma managed with standard chemotherapy. The first case was that of a three-year-old female child with isolated unilateral optic nerve glioma who presented with unilateral proptosis of one-month duration. The second case was a 6-year-old female child with bilateral optic nerve glioma with associated neurofibromatosis. There was no chiasmal involvement in any of the cases. Both patients received chemotherapy because of the worsening vision, proptosis, and increase in the size of the tumor on serial imaging. At the last follow-up visit, the vision was found to be stable in both the cases with the reduction in proptosis and without any significant chemotherapy side effects. Chemotherapy should be considered as the first-line treatment in all cases of progressive optic nerve gliomas.

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