To cite: Shang Kuan W-C, Chi C-C. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013202733 DESCRIPTION A 34-year-old man suffered from itching, burning and a foreign body sensation in his left eye for 6 months prior to his first ophthalmology clinic visit, where eye drops were prescribed for presumed keratitis without obvious improvement. Furthermore, his left e...

Abstract Introduction Spheno-orbital meningiomas are characterized by bone invasion with extensive hyperostosis and possible encroachment into the orbit, infra-temporal fossa, and/or cavernous sinus that render total surgical excision challenging. The technique utilized is a key factor facilitating complete resection hence improvement of proptosis accompanying visual symptoms. Methods This retr...

A seven-year-old male presented with fever, left-sided facial redness, swelling and proptosis over a 24-hour period. He had noted left-sided toothache and rhinorrhea over the preceding week. On presentation, he stated that he was unable to see " anything, including light " from his left eye. On physical examination, the patient was febrile with left periorbital swelling and significant left-sid...

OBJECTIVE To investigate the safety and efficacy of a conservative orbital decompression using sharp-curette bony decompression and intraconal fat debulking through a transconjunctival incision in patients with thyroid-related orbitopathy and mild to moderate proptosis. DESIGN Retrospective, noncomparative, interventional case series. PARTICIPANTS AND METHODS Data from all patients undergoi...

CLINICAL CASE A fifty-two-year-old woman consulted our department because of a bilateral proptosis. The appearance of acute symptoms suggestive of a digestive disorder during her admission to hospital for the study of the proptosis, led to a diagnosis of multifocal fibrosclerosis with simultaneous affliction of orbital tissue, mesenteric fat and the brain stem. DISCUSSION Idiopathic Sclerotic...

Rosai-Dorfman disease (RDD) is a rare lymphoproliferative disorder with nodal and extranodal involvements. Here we report a case of RDD in a 15-year-old female who presented with epigastric pain, fatigue, Raynaud phenomenon in fingers, submandibular lymphadenopathy, proptosis, hepatosplenomegaly, and round shape painless patches on the extensor surfaces. Histological examination of the submandi...

OBJECTIVE To report the clinical findings and management of spontaneous hemorrhage in an unsuspected intraorbital arteriovenous malformation. DESIGN Interventional case report. METHODS Review of clinical findings, radiologic studies, and treatment of the patient. RESULTS A 75-year-old woman sought treatment for the rapid onset of severe proptosis. Orbital exploration of a "mass" imaged on...