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

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 present...

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Autores principales: Bekibele, Charles O, Fasola, Olubayo A, Okojie, Vickie N, Komolafe, Opeyemi O, Oluwasola, Olayiwola A, Emejulu, Jude K, Ajaiyeoba, Ayotunde I, Baiyeroju, Aderonke M
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2633003/
https://www.ncbi.nlm.nih.gov/pubmed/19144124
http://dx.doi.org/10.1186/1752-1947-3-14
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author Bekibele, Charles O
Fasola, Olubayo A
Okojie, Vickie N
Komolafe, Opeyemi O
Oluwasola, Olayiwola A
Emejulu, Jude K
Ajaiyeoba, Ayotunde I
Baiyeroju, Aderonke M
author_facet Bekibele, Charles O
Fasola, Olubayo A
Okojie, Vickie N
Komolafe, Opeyemi O
Oluwasola, Olayiwola A
Emejulu, Jude K
Ajaiyeoba, Ayotunde I
Baiyeroju, Aderonke M
author_sort Bekibele, Charles O
collection PubMed
description 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 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. CONCLUSION: Fibrous dysplasia should be considered in the differential diagnosis of slowly developing proptosis with associated visual loss in young adults.
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spelling pubmed-26330032009-01-30 Visual impairment from fibrous dysplasia in a middle-aged African man: a case report Bekibele, Charles O Fasola, Olubayo A Okojie, Vickie N Komolafe, Opeyemi O Oluwasola, Olayiwola A Emejulu, Jude K Ajaiyeoba, Ayotunde I Baiyeroju, Aderonke M J Med Case Reports Case report 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 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. CONCLUSION: Fibrous dysplasia should be considered in the differential diagnosis of slowly developing proptosis with associated visual loss in young adults. BioMed Central 2009-01-13 /pmc/articles/PMC2633003/ /pubmed/19144124 http://dx.doi.org/10.1186/1752-1947-3-14 Text en Copyright ©2009 Bekibele et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Bekibele, Charles O
Fasola, Olubayo A
Okojie, Vickie N
Komolafe, Opeyemi O
Oluwasola, Olayiwola A
Emejulu, Jude K
Ajaiyeoba, Ayotunde I
Baiyeroju, Aderonke M
Visual impairment from fibrous dysplasia in a middle-aged African man: a case report
title Visual impairment from fibrous dysplasia in a middle-aged African man: a case report
title_full Visual impairment from fibrous dysplasia in a middle-aged African man: a case report
title_fullStr Visual impairment from fibrous dysplasia in a middle-aged African man: a case report
title_full_unstemmed Visual impairment from fibrous dysplasia in a middle-aged African man: a case report
title_short Visual impairment from fibrous dysplasia in a middle-aged African man: a case report
title_sort visual impairment from fibrous dysplasia in a middle-aged african man: a case report
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2633003/
https://www.ncbi.nlm.nih.gov/pubmed/19144124
http://dx.doi.org/10.1186/1752-1947-3-14
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