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Andrew W. Lawton, MD; James W. Karesh, MD; William C. Gray, MD

Arch Ophthalmol. 1986;104(6):874-877.

Abstract
• We describe a 58-year-old woman who presented with proptosis, upward displacement, and decreased vision in her right eye. A computed tomography scan revealed a mass filling the right maxillary sinus, destroying bone and invading the inferolateral orbit. The tumor proved to be an inverted squamous papilloma with focal transformation to squamous cell carcinoma. Although a rare cause of proptosis, inverted papilloma with orbital invasion must be considered when a patient describes associated nasal or sinus disease.

Author Affiliations
From the Departments of Ophthalmology (Drs Lawton and Karesh), Pathology (Dr Lawton), and Surgery (Dr Gray), University Hospital, University of Maryland School of Medicine, Baltimore.

Footnotes
Accepted for publication Dec 4, 1985.

Reprint requests to the Department of Ophthalmology, University Hospital, 22 S Greene St, Baltimore, MD 21201 (Dr Lawton).

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