Visual impairment from fibrous dysplasia in a middle-aged African man: a case reportReport as inadecuate




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Journal of Medical Case Reports

, 3:14

First Online: 13 January 2009Received: 28 May 2008Accepted: 13 January 2009DOI: 10.1186-1752-1947-3-14

Cite this article as: Bekibele, C.O., Fasola, O.A., Okojie, V.N. et al. J Med Case Reports 2009 3: 14. doi:10.1186-1752-1947-3-14

Abstract

IntroductionFibrous dysplasia is a benign tumour of the bones and is a disease of unknown aetiology. This report discusses a case of proptosis and visual deterioration with associated bony mass involving the right orbit.

Case presentationA 32-year-old Nigerian man of Yoruba ethnic origin presented to the eye clinic of our hospital with right-eye proptosis and visual deterioration of 7-year duration. Presentation was preceded by a history of trauma. Proptosis was preceded by trauma but was non-pulsatile with no thrill or bruit but was associated with bony orbital mass. The patient reported no weight loss. Examination of his right eye showed visual acuity of 6-60 with relative afferent pupillary defect. Fundal examination revealed optic atrophy. Computed tomography showed an expansile bony mass involving all the walls of the orbit. The bony orbital mass was diagnosed histologically as fibrous dysplasia. Treatment included orbital exploration and orbital shaping to create room for the globe and relieve pressure on the optic nerve.

ConclusionFibrous dysplasia should be considered in the differential diagnosis of slowly developing proptosis with associated visual loss in young adults.

Electronic supplementary materialThe online version of this article doi:10.1186-1752-1947-3-14 contains supplementary material, which is available to authorized users.

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Author: Charles O Bekibele - Olubayo A Fasola - Vickie N Okojie - Opeyemi O Komolafe - Olayiwola A Oluwasola - Jude K Emejulu

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