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Bilateral Optic Disc Swelling Following Anastrozole Therapy
Authors:Oscar Jim Michael Coppes  Rimas V Lukas  Gini F Fleming  Jeffrey Nichols  Meaghan Tenney  Jacqueline Bernard
Institution:aPritzker School of Medicine;bDepartment of Neurology;cSection of Hematology and Oncology;dSection of Ophthalmology;eDepartment of Obstetrics and Gynecology, University of Chicago, Chicago, Illinois, USA
Abstract:A 56-year-old female with early-stage breast cancer, stage IA grade 1 endometrial cancer, and stage IC grade 1 ovarian cancer developed sudden-onset visual changes and right inferior visual field defect following anastrozole therapy. Examination revealed severe bilateral optic disc swelling and impaired visual acuity. Laboratory work-up was otherwise unremarkable. Anastrozole was discontinued and over the next month, patient had near-complete resolution of swelling in the right eye and improvement in the left eye. This is the only reported case of optic disc swelling following anastrozole therapy.
Keywords:Breast neoplasms  chemotherapy  optical coherence tomography  papilloedema  vision
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