The Ophthalmology Unit,  Universiti Malaysia Sarawak (UNIMAS), Kuching, Sarawak.

The Ophthalmology Department, Sarawak General Hospital, Kuching, Sarawak, East Malaysia.

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Neurofibromatosis type 1

Photo by Professor Chua Chung Nen

This man returns for a follow-up following an extensive excision of his right facial neurofibroma 14 months ago. He wishes to improve his appearance better and following a lengthy discussion he agreed to have his right non-seeing eye removed so that his right socket could be reconstructed more easily. Slit-lamp examination shows the presence of a neurofibroma of the left upper eyelid margin and multiple Lisch's nodules. Discussion of his initial management is available in Case of the week.

 

Right orbit deformation from neurofibroma infiltration.

 

Upper eyelid neurofibroma and multiple Lisch's nodules.

 

 

Close-up view of the Lisch's nodules.

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