THE DIAGNOSIS and management of unilateral proptosis have been reported by Ellett,1 Pfeiffer,2 Thacker,3 Massoud,4 and Savin.5 Fibrous dysplasia of bone giving rise to proptosis has rarely been mentioned in such reviews. Two such cases are described. Savin (liontiasis ossei); Pfeiffer (osteitis fibrosa cystica); Proffitt, McSwain, and Kalmon;6 Pugh,7 Sosman,8 and Schlumberger9 have mentioned this possibility in reporting cases of exophthalmos. In these instances the lesion was usually diffiuse, involving extensive portions of the frontal bone, orbit, and paranasal sinuses. Yet the process may be quite discrete (Sosman) in the supraorbital plate and amenable to surgical excision. The surgical treatment in such cases has had little consideration.
Fibrous dysplasia of bone is still a comparatively uncommon entity, and extensive reports of such lesions are few. Case series with reviews of the literature, x-ray findings, clinical manifestations, and surgical management have recently
KING RB, HAYES GJ. UNILATERAL PROPTOSIS DUE TO FIBROUS DYSPLASIA OF BONEReport of Two Cases. AMA Arch Ophthalmol. 1951;46(5):553-559. doi:10.1001/archopht.1951.01700020566014