Introduction: Orbital mass lesions have various underlying pathological processes that may fall under the expertise of different medical specialties, each with their own management biases. There have been number of published reviews related to the incidence of various orbital tumors and space occupying lesions. We have conducted this study to evaluate orbital space occupying lesions which required surgical intervention. Methods: The medical records of all patients with histopathologically proven diagnosis of orbital tumors operated by a same surgeon at a tertiary eye care were reviewed retrospectively. Patients of all age groups were included in this study. Thyroid related orbitopathy, infective lesions and inflammatory lesions managed medically were excluded from the study. For each patient medical record was reviewed for various parameters. Results: There were 134 patients in our study. 74 (55.2%) were males and 60 (44.8%) were females, 96 (71.6%) were >16 years old and 38 (28.4%) were children (< 16 years). Most common symptom was swelling seen in 60 cases (44.78%). Fundus examination showed Choroidal folds in 15 cases (11.19%) and Swollen Disc in 11 cases (8.20%). Mostly lesions were extraconal in 98 cases (73.13%) followed by intraconal in 28 cases (20.90%). Majority lesions were primary tumors in 119 cases (88.81%) followed by secondary in 15 cases (11.19%). There were 102 benign tumors (76.11%), 30 malignant cases (22.39%) and 2 cases converted from benign to malignant (1.49%). Most common intervention done was Biopsy excision in 109 cases (81.34%) followed by Biopsy – Incision in 9 cases (6.72%), Biopsy –Debulking in 6 cases (4.48%) and Enucleation was done in 4 cases (2.99%). Conclusion: Orbital tumors differ amongst various age groups. The clinician should be able to arrive at a fairly accurate diagnosis in most cases allowing the clinician to provide better care to the patient.
Shields JA. Diagnosis and Management of Orbital Tumors. Philadelphia: Saunders; 1989:89-388.
Rootman J: Disease of the orbit. Philadelphia, J.B. Lippincott, 1988; 119-139.
Youssefi B. Orbital tumors in children: A clinical study of 62 cases. J Pediatr Ophthalmol 1969;6:177-81.
Henderson JW, Campbell RJ, Farrow GM, Garrity JA. The tumor survey. In: Henderson JW, Campbell RJ, Farrow GM, Garrity JA, eds. Orbital Tumors. 4th ed. New York: mayo Foundation for Medical Educatin and Research; 2007:1-392.
Shields JA, Bakewell B, Augsburger JJ, Flanga11 JC. Classification and incidence of space-occupying leions of the orbit. A survey of 645 biopsies. Arch Ophthalmol 1984;102:1606-11.
Hari Mohan, A.N. Gupta: Proptosis - A clinical analysis of 141 cases, J. All India Ophthalmol. Soc. Jun. 1968; 16(2): 9-17.
Simon GJ, Yoon MK, Jane A, Nakra T, McCann JD, Goldberg RA. Clinical manifestations of orbital mass lesions at the Jules Stein Eye Institute, 1999-2003. Ophthalmic Surgery, Lasers and Imaging Retina. 2006 Jan 1;37(1):25-32.
Kennedy RE. An evaluation of 820 orbital cases. Transactions of the American Ophthalmological Society. 1984;82:134.
Seregard S, Sahlin S. Panorama of orbital space occypying lesions: the 24 year experience of a referral centre. Acta Ophthalmol Scand.1999;77:91-98.
Johansen S, Heegaard S, Bogeskov L, Prause JU. Orbital space-occupying lesions in Denmark 1974-1997. Acta Ophthalmol Scand 2000;78:547-52.
Porterfield JF. Orbital Tumors in children. A report on 214 - cases. Int Ophthalmol Cl in 1962;2:319-35.
Crawford JS. Diseases of the orbit. In: Crawford JS, Morin JD, eds. The eye in childhood. Grune & Stratton, 1983:361.
Demirci H, Shields CL, Shields JA, Honavar SG, Mercado GJ, Tovilla JC. Orbital tumors in the older adult population. Ophthalmology. 2002 Feb 1;109(2):243-8.
Honavar SG, Manjandavida FP. Recent advances in orbital tumors—a review of publications from 2014-2016. The Asia-Pacific Journal of Ophthalmology. 2017 Mar 1;6(2):153-8.
Montano N, Lauretti L, D'Alessandris QG, Rigante M, Pignotti F, Olivi A, Paludetti G, Pallini R, Fernandez E. Orbital tumors: report of 70 surgically treated cases. World neurosurgery. 2018 Nov 1;119:e449-58.
Colletti G, Saibene AM, Pessina F, Duvina M, Allevi F, Felisati G, Biglioli F. A shift in the orbit: immediate endoscopic reconstruction after transnasal orbital tumors resection. Journal of Craniofacial Surgery. 2017 Nov 1;28(8):2027-9.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright (c) 2020 Dr. Smita Patare, Dr. Roopa Naik, Dr. Amrut A. Swami