Visual impairment from fibrous dysplasia in a middle-aged African man: a case report

ABSTRACT

Introduction

Fibrous 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 presentation

A 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 0 associated with bony orbital mass. The patient reported no weight loss. Examination of his right eye shov 6/60 with relative afferent pupillary defect. Fundal examination revealed optic atrophy. Computed tomog expansile bony mass involving all the walls of the orbit. The bony orbital mass was diagnosed histological dysplasia. Treatment included orbital exploration and orbital shaping to create room for the globe and rei the optic nerve.

Conclusion

Fibrous dysplasia should be considered in the differential diagnosis of slowly developing proptosis with as: in young adults.