Dr.Anurag Makkar, Dr. Virendra Kumar Malik, Dr. Malik K P S, Dr. Charu Jain, Dr. Sanjiv Kumar
Aim-To present a rare case of craniofacial fibrous dysplasia presenting with proptosis and loss of vision.
Methods-A 27 year old male presented with uniocular proptosis of the left eye for 5 months with progressive diminution of vision.On examining left eye there was 3mm non-axial proptosis.Pupils showed an afferent pupillary defect.Visual acuity was reduced to hand movements close to face.Extraocular movements showed restriction of adduction.Fundus examination showed optic atrophy.Examination of right eye was normal.CT and MRI scans were suggestive of polyostotic craniofacial dysplasia involving sphenoid and ethmoid bones.Diagnosis was confirmed by histopathological examination.Results-Patient underwent craniotomy,tumor decompression,excision of dysplastic bone and anterior cranial fossa base repair.
Conclusion-Even though rare,craniofacial fibrous dysplasia should always be considered as an important differential diagnosis of unilateral proptosis in young adults