A right eye exophthalmia revealing an en-plaque meningioma in spheno-orbital plate: a case report

Mrs F. a 39 years old patient with a medical history of hypertension treated with beta blocker and of a type 2 diabetes treated with oral medication. She is referred to our department for chronic headaches, sight impairment, and a right eye proptosis evolving for a year and worsening over time without diplopia. The ocular examination of the right eye shows a visual acuity at 8/10 as well as a proptosis that is scaled grade I, axile, painful, non pulsatile and non reductible without any eye movement limitation. The right cornea suffered an exposure keratitis and the intraocular pressure was normal in both eyes (Figure 1). The right eye fund us showed no abnormalities; neither an optic nerve compression nor any choroid folds. A complete neurological examination was performed on the patient which was completely normal. The MRI scan shows a spheno orbital meningeal tumor highly in favor of an En plaque meningioma (Figure 2).The patient was admitted in the Neurosurgical department where she is to undergo a surgical resection followed by a spheno orbital reconstruction after getting the biopsy results. Figure 1 Right eye proptosis.