Dr. VIJI RANGARAJAN

Abstract

Objective: To present a case series of 7 patients with orbitopalpebral neurofibromatosis which are rare but important group of conditions seen by ophthalmologists but inadequately addressed.

Methods :All 7 patients were managed with planned surgical approach,with full thickness,transverse or transverse oblique resection of upperlid neurofibroma along with canthopexies and ptosis correction.

Results: Presenting signs & symptoms included eyelid swelling, ptosis,canthal dystopia & decreased visual acuity.These patients were treated with tailored surgical approach which gives acceptable results in these challenging cases.

Conclusion:A tailored radical palpebral resection can provide both functional & aesthetic benefit even in challenging plexiform neurofibromatosis which henceforth improved patient’s social interaction & confidence.

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