Nasopharyngeal Carcinoma with Atypical Ophthalmic Presentation- A Rare Case Report

Introduction: Nasopharyngeal carcinoma (NPC), a rare malignancy with unique and complex etiology, is most confused and commonly misdiagnosed disease and can present as painless enlargement of upper neck nodes, followed by nasal, aural, ophthalmic, neurological manifestations. Case presentation: We present a case of NPC in a 24 year old unmarried female, who initially presented with painless bilateral loss of vision, initially treated empirically for optic neuritis and Tuberculosis for four years. Conclusions: Isolated painless and bilateral loss of vision though unusual and rare manifestation of NPC should be considered as a possible differential.