Blog Hero

Can a Brain Tumour be Detected in an Eye Exam?

Request an Appointment
A doctor using a model of an eye to explain eye health and potential issues related to vision.

When it comes to health, your eyes can reveal more than just vision problems. Beyond determining whether you need glasses or contact lenses, comprehensive eye exams can uncover signs of serious health conditions, including neurological issues. In some cases, a brain tumour can even be detected during an eye exam, as changes in the optic nerve, abnormal eye movements, or increased pressure in the eye may signal a deeper problem.

Early detection through routine eye exams can be helpful in diagnosing underlying conditions before symptoms become more severe. Prioritizing regular eye check-ups can help safeguard not just your vision, but your overall health as well. 

What Happens During an Eye Exam? 

A comprehensive eye exam is much more than reading letters on an eye chart. At First Optometry, we take a holistic approach that includes a detailed health history, non-invasive diagnostic imaging, and a closer examination of your eyes’ internal structures. Our goal is to assess not just your vision but also your overall eye health. 

During the exam, your optometrist may utilize tools such as an ophthalmoscope or advanced imaging technology to examine your retina, optic nerve, and blood vessels. This detailed assessment allows them to detect abnormalities that could point to underlying health concerns, including neurological disorders.  

How is a Brain Tumour Related to Your Eyes? 

Brain tumours, whether cancerous or benign, can exert pressure on various structures within the brain, including those connected to your eyes. Because of this, your eyes can sometimes provide the first signs of trouble. Specific symptoms or abnormalities that your optometrist could observe include the following.  

Papilledema

Papilledema occurs when elevated intracranial pressure causes swelling of the optic nerve. An optometrist can diagnose this condition through a dilated eye exam or optical coherence tomography (OCT). While papilledema doesn’t necessarily mean you have a brain tumour, it is a red flag that warrants further investigation.  

Changes in Vision

Brain tumours can exert pressure on the visual pathway, leading to symptoms like blurry vision, double vision, or loss of peripheral vision. These changes are sometimes subtle, but a routine eye exam can help to identify clues you might not notice.  

Unexplained Optic Nerve Pallor

Optic nerve pallor refers to a pale appearance of the optic nerve, which may suggest reduced blood flow or damage. This could indicate serious conditions such as a brain tumour affecting the optic pathways.  

Other Signs Visible During Eye Exam

Other signs optometrists may detect include unusual eye movements, asymmetry in pupil size, or abnormalities in the retina’s blood vessels. These could point to conditions affecting the brain or central nervous system. 

How Brain Tumours Affect the Visual System? 

The brain’s visual system is a complex network primarily controlled by the occipital lobe, optic nerve, and visual pathways. A tumour’s location in or near these regions typically determines the type and severity of visual symptoms. 

For instance, tumours pressing on the optic nerve can reduce visual clarity. At the same time, those in the occipital lobe may cause partial or complete vision loss in specific areas of the visual field. Understanding how the tumour interacts with these structures helps identify and address vision-related issues early.  

A medical professional examining a brain scan, possibly looking for signs of a brain tumor.

Types of Brain Tumours That Can Affect Vision

Some brain tumours are closely linked to vision problems. Here are tumor types that can disrupt visual functioning:  

  • Pituitary tumors: Can compress the optic nerve, causing gradual or sudden vision changes.  
  • Meningiomas: May impact nearby visual pathways, leading to vision disruptions.  
  • Gliomas and other tumours: Located near the brain’s visual pathways, they can cause double vision, blind spots, or significant vision loss.  

Timely diagnosis is important to managing these tumors, as early detection can help prevent further vision impairment, guide treatment options, and improve overall outcomes for both neurological and visual health.

Common Eye Symptoms That May Indicate a Brain Tumour

Visual symptoms can signal an underlying brain tumor. Watch out for:  

  • Difficulty focusing or tracking objects.  
  • Sensitivity to light.  
  • Persistent blurry vision or unexplained visual disturbances.  
  • Headaches accompanied by vision problems. 
  • Double vision
  • Loss of peripheral vision or blind spots
  • Sudden or gradual vision loss in one or both eyes 
  • Unusual eye movement or difficulty controlling eye movement

If you or a loved one is noticing any of these symptoms, it’s important to act quickly and book an eye exam with a professional. 

Other Health Conditions That Eye Exams Can Detect

Your eyes provide a window into not only brain health but also other systemic diseases. In addition to brain tumors, a comprehensive eye exam can reveal signs of:

  • Multiple Sclerosis (MS): Inflammation of the optic nerve (optic neuritis) can be an early sign of MS, leading to pain and temporary vision loss.
  • Cataracts: Clouding of the eye’s lens, often leading to blurry vision and glare sensitivity.
  • Glaucoma: A condition that damages the optic nerve potentially causing irreversible vision loss.
  • Detached Retina: Can cause sudden flashes of light, floaters, and vision loss if left untreated.
  • Stroke: Sudden vision changes, including loss of peripheral vision or double vision, can sometimes indicate a stroke.
  • Diabetes: Diabetic retinopathy, which affects blood vessels in the retina, can be detected during an eye exam before noticeable symptoms appear.

Why Regular Eye Exams Are Important

Your eyes are like windows into your overall health. An annual eye exam isn’t just about updating your prescription; it’s a proactive step toward safeguarding your health. Early detection of anomalies during a routine eye exam can lead to timely medical intervention, helping prevent potentially severe outcomes. 

At First Optometry, our preventive and proactive approach helps us to address issues before they become serious. Don’t hesitate to book your eye exam today!

Written by Dr. Stephanie Millar

instagram facebook facebook2 pinterest twitter google-plus google linkedin2 yelp youtube phone location calendar share2 link star-full star star-half chevron-right chevron-left chevron-down chevron-up envelope fax