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Updated: Apr 21, 2026

Three-Dimensional Reconstruction of Orbital Fractures
Published on: May 16, 2025
Nodular Fasciitis of the Orbit
Christopher J Compton1, Jeremy D Clark, Matthew P Thompson
1*Department of Ophthalmology and Visual Sciences, University of Louisville; †Pediatric and Perinatal Pathology Associates, PSC, Louisville, Kentucky; and ‡Oculofacial and Orbital Surgery, Indianapolis, Indiana, U.S.A.
Abstract:
A 13-month-old boy was presented with new onset proptosis of the right eye. CT scan and MRI showed an enhancing mass in the right superior orbit with local bone remodeling and erosion. A craniotomy was performed for biopsy and sub-total resection. Histopathology and immunohistochemistry confirmed the lesion to be nodular fasciitis. Nodular fasciitis lesions are classically found in the anterior ocular adnexa, especially in pediatric patients. This is the first reported case of nodular fasciitis arising in the posterior orbit of a child younger than 16.
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