Unilateral proptosis in a 3-year-old child – A case report

Optic nerve gliomas (ONGs) are now regarded as true neoplasm with the ability to invade locally, but are relatively rare. Gliomas arise from astrocytes of the optic nerve and visual pathway. We describe a case of a 3-year-old bo y with painless progressive protrusion left eye for 1 month. The child was evaluated clinically and required investigations were carried out, the findings were consistent with the diagnosis of ONG. Magnetic resonance imaging is diagnostic to see its extension and to plan its management. An integrated approach should involve neuro-ophthalmologists, hemato-oncologist, oculoplastic surgeons, neurosurgeons, and radiation oncologists.