FIBROUS DYSPLASIA OF THE ORBIT

Citation
K. Bibby et R. Mcfadzean, FIBROUS DYSPLASIA OF THE ORBIT, British journal of ophthalmology, 78(4), 1994, pp. 266-270
Citations number
45
Categorie Soggetti
Ophthalmology
ISSN journal
00071161
Volume
78
Issue
4
Year of publication
1994
Pages
266 - 270
Database
ISI
SICI code
0007-1161(1994)78:4<266:FDOTO>2.0.ZU;2-R
Abstract
Twelve patients with fibrous dysplasia of the orbit are reviewed and t he ophthalmic findings described. Three case histories are presented i n detail. Six patients were managed conservatively; four have shown ra diological progression of the disease. Six patients underwent surgery. A conservative procedure, comprising debulking dysplastic bone, was c arried out in four - all required further surgery including radical ex cision in two patients. Two subjects had primary radical operations. N o recurrence was encountered in the four patients who had undergone ra dical surgery. It would appear that fibrous dysplasia is not a disease confined to adolescence but may continue into adulthood, and even mid dle age. Patients may never require surgery, but require follow up for late progression. If surgical intervention is deemed necessary, an at tempt should be made to excise all dysplastic bone, since progression of the disease after conservative surgery is relatively common.