Sphenoorbital Encephalocele and Globe Subluxation in a Case of Neurofibromatosis 1

Neurofibromatosis (NF) is a genetic abnormality that affects the cell growth of neural tissue, leading to tumor growths that impact skin, nervous system, eyes, and other organs. NF is divided into two primary subgroups: NF Type 1 (NF1) also known as Von Recklinghausen or peripheral NF and NF2 also known as bilateral acoustic NF and central NF. The common ophthalmic manifestations of NF1 include Lisch nodules, optic nerve glioma, and plexiform neurofibroma within the lid and retinal glial hamartoma. We present the case of a 45-year-old male NF1 patient who presented with pulsating eccentric proptosis and globe subluxation along with various other systemic and ophthalmic manifestations. In this case report, we will be highlighting the clinical and radiological findings of the patient.