Woman presents with vision changes, orbital mass

A 43-year-old stay-at-home mom was referred to the Tufts New England Eye Center for a newly identified orbital mass and vision changes in her right eye.
Her symptoms began as mild blurry vision 3 months before presentation. Her entire visual field at near and at distance was affected, but she could still read and drive a car. She denied progression of the visual changes and had no double vision. Her optometrist of many years had retired. Upon seeing a new optometrist for the first time, she was found to have elevated right eye pressure and an abnormal right optic disc. She was then referred to