EYE BALL MENINGIOMA- A RARE CASE REPORT

Dr. Sajag Kumar Gupta and *Dr. Pankhudi Gupta

ABSTRACT

Introduction: Meningiomas account for approximately 4% of all intraorbital masses and fall into 2 broad categories. Primary lesions are derived from cell lining intraorbital or intracanalicular (less commonly) segments of optic nerve. Secondary intraorbital meningiomas arise intracranially. Case History: A 35 year male, farmer, presented with swelling in right eyeball since last 3-4 yrs. Local examination showed protrusion of right eyeball with swelling of eyelid. Plain CT scan of orbit revealed expansile mass of 4 x 3 cm in right orbit with extension into lateral and inferior compartment. Patient underwent right eye exenteration. Grossly, eye ball measuring 5x4cm was received. Cut surface, showed a grey-white friable tumor. Microscopically, section from tumor showed spindle shaped cells forming fascicular pattern. A diagnosis of right eye ball Meningioma-predominantly fibroblastic was made. Conclusion: The WHO meningioma classification scheme attempts to predict that which tumors are most likely to recur, placing those lesions into grade 2(atypical) or grade 3(malignant) categories.

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