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Year : 2017  |  Volume : 65  |  Issue : 10  |  Page : 1063-1066

Isolated nonpulsatile enophthalmos in neurofibromatosis: An uncommon entity

1 Oculoplasty and Ocular Oncology Services, L J Eye Institute, Ambala, Haryana, India
2 National Reporting Centre for Ocular Pathology, Hyderabad, Telangana, India

Correspondence Address:
Swati Singh
Oculoplasty and Ocular Oncology Services, L J Eye Institute, Ambala, Haryana
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijo.IJO_396_17

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Isolated enophthalmos is a rarely observed entity in neurofibromatosis (NF). A 12-year-old male presented with right lower eyelid fat prolapse and enophthalmos for the past 7 years. There was no history of antecedent trauma/surgery. Computed tomography of orbit revealed an ill-defined intraconal hyperdense lesion located between lateral and inferior rectus along with an enlarged inferior orbital fissure (IOF). Superior orbital fissure was minimally widened without prolapse of any intracranial contents. Excision biopsy along with repair of widened IOF was performed through inferior transconjunctival route. Histopathology was suggestive of plexiform neurofibroma with positivity for S-100 and epithelial membrane antigen. No associated cutaneous lesions were present. Nonpulsatile enophthalmos with eyelid fat prolapse can be a presenting sign of NF.

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