ISSN 0886-3067

Volume No 35 Issue No 4

A Curious Orbital Lesion in a Young Girl

A 15-year old girl presented with a slow growing mass in the orbit with normal visual acuity. We followed the patient for a year and closely observed the increase in size of the mass for over a year both clinically and radiologically. The mass grew gradually with no effect on her visual acuity, which was 6/6 in both eyes using Snellen chart; pupillary reactions were normal with no afferent papillary defect and her extraocular movements were full. Her anterior segment and posterior segment of the eye including the optic disc and macula and the intraocular pressure remained within normal limits. We removed the mass surgically on the request of the patient, as the mass had caused significant disfigurement. It was a multidisciplinary approach by an ENT and an eye surgeon for the effective and complete removal of the lesion. We did a frontal orbitotomy under general anesthesia and the mass recovered was sent for biopsy. The biopsy report concluded the mass to be juvenile psammomatoid ossifying fibroma. Key Words: Orbit, psammomatoid ossifying fibroma, frontal orbitotomy.