Look beyond the retinopathy: The incidental finding of a brain tumour

We report the case of a 33-year-old woman who was found to have optic-nerve head swelling on fundus photographs obtained for telemedicine diabetic retinopathy screening. The patient was found to have a large vestibular schwannoma on brain imaging. This case shows the added benefit of implementing timely changes in management in response to significant incidental findings on tele-ophthalmology diabetic retinopathy screening, which can lead to potentially life- and vision-saving interventions.

Keywords: Tele-ophthalmology; diabetic retinopathy; headache, brain tumour, telemedicine; optic-nerve head swelling.