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December 1977

Optic Nerve Compression Due to Aneurysmal Bone Cyst

Author Affiliations

From the Department of Ophthalmology, UCLA School of Medicine, Los Angeles (Dr Yee), and the Clinical Branch, National Eye Institute, National Institutes of Health, Bethesda, Md (Drs Yee and Cogan). Drs Thorp and Schut are in private practice in Philadelphia.

Arch Ophthalmol. 1977;95(12):2176-2179. doi:10.1001/archopht.1977.04450120082007

• A 10-year-old boy developed loss of central vision in both eyes due to compression of the optic nerves by a mass arising from the sphenoid and ethmoid sinuses. Histopathologic examination of biopsy specimens showed a fibrous matrix composed of spindle-shaped cells interspersed with small and large channels, characteristic of an aneurysmal bone cyst. One year after partial excision of the intracranial and extracranial portions of the lesion, vision had returned to nearly normal levels. Aneurysmal bone cysts rarely involve the orbits or other cranial bones to produce ocular signs and symptoms. However, since this lesion probably represents reactive proliferation of bony tissues, rather than neoplasia, the prognosis for vision and life is good.

(Arch Ophthalmol 95:2176-2179, 1977)

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