Dr.Harmandeep Singh

Prof. Dr. Reena Kumari, Dr.Dinesh Kumar Bhagat

Abstract

A 19 year old male presented with no vision in OS for 6 years and mild blurring of vision in OD for 1 year. BCVA OD was 6/18 and no PL in OS. There was left sided frontal bulging. Left eye was proptosed and inferiorly displaced. Slit lamp examination OD- central corneal nebular opacity. Fundus examination was unremarkable. OS examination-traumatic cataract. B scan of OS- incomplete PVD and vitreous opacities. CECT head-mixed sclerotic lytic intraosseous lesion with ground glass appearance involving left frontal bone, sphenoid, orbit, maxilla and mandible. Features were consistent with fibrous dysplasia. MRI brain and orbit-near complete obliteration of left optic canal with chronic severe compression of left optic nerve causing optic nerve atrophy. Mild compression of right optic nerve also noted. T/t- MSICS was done in OS for cosmetic purposes. Endoscopic transnasal orbital and optic canal decompression planned and patient counseled for the same.