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BMJ Case Rep. 2010; 2010: bcr0620103077.
Published online 2010 October 21. doi:  10.1136/bcr.06.2010.3077
PMCID: PMC3027564
Rare disease

A dry, droopy and dilated eye: a neuro-ophthalmic case with correlation of signs and anatomical tumour spread


Adenoid cystic carcinoma (ACC) has a propensity for perineural tumour spread. This report concerns a 51-year-old woman who presented with a unilateral red eye with reduced vision, ptosis and a non-reactive pupil. This patient had a maxillary sinus ACC with perineural spread, leading to the neuro-ophthalmic signs. She is currently being treated with radiotherapy.

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