Skip to content
  • About us
  • For advertising
  • For authors
  • Publishing ethics
  • Contacts
  • GDPR
  • български
Shopping Cart 0
Facebook
GPNews
  • Home
  • IssuesExpand
    • 2025
    • 2024
    • 2023
    • 2022
  • Article summariesExpand
    • AG and Neonatology
    • Allergology
    • Dental Health
    • Cardiology
    • Dermatology and Cosmetics
    • Endocrinology
    • From the Practice
    • Gastroenterology
    • History Teaches
    • In the World of Viruses
    • Nature Teaches
    • Neurology and Psychiatry
    • Nutrition, Dietetics, Metabolism
    • Oncology
    • Ophtalmology
    • Others
    • Otorhinolaryngology and Pulmonary Diseases
    • Pediatrics
    • Rheumatology and Diseases of the Joints
    • Test on a Clinical Case
    • Urology and Nephrology
  • Subscription
Shopping Cart 0
Facebook

  • български

GPNews
Home / Ophtalmology / Ocular symphtomatics in orbital tumors

Ocular symphtomatics in orbital tumors

отGP News публикувано на 25.07.2024 Ophtalmology
Очна симптоматика при орбитални тумори

Issue 6/2024

Vasileva, V., Vassileva, P.
Specialized Eye Hospital “Acad. Pashev” – Sofia

Introduction: Orbital tumors constitute a heterogenous array of benign and malignant lesions presenting with a variety of histological types and clinical manifesations. Although these tumors are relatively rare in everyday ophthalmic practice, they can lead to irreversible vision loss so knowledge about them is imperative.
Purpose: To present in a systematic way the main effects the tumor has on the surrounding tissues – mass effect that is demonstrated by proptosis (exophthalmos) and compressive/infiltrative effect to the extraocular muscles and the optic nerve. Emphasisis placed on the optic disc edema as an indicator of compressive optic neuropathy – ophthalmological signs, differential diagnosis, specialized investigations. We can approximate the location of the tumor by considering certain constellations of symptoms-intraconal tumors are more likely to present with concentric proptosis, decreased visual acuity and ocular motility disorders, while extraconal tumors – with eccentric proptosis (dystopia), pain and incomitant diplopia. Taking into consideration the aforementioned symptom complex a diagnostic algorithm is proposed to serve as a basis in performing a thorough comprehensive examination. Clinical case: A 55 year old woman presenting with complains of impaired vision in the left eye, who had frequent change in eyeglasses prescription. She was diagnosed with Hashimoto thyroiditis 10 years ago. After performing a complete
ophthalmological examination with pupil dilation and ophthalmoscopy we observed swelling of the left optic disc. Additional tests were performed (computer perimetry, optical coherence tomography) after which the patient was reffered to a neurosurgeon. After MRI was performed, an intraconal tumor formation was diagnosed and later surgically removed. Conclusion: The orbital tumors pose numerous challenges in terms of diagnosis and management. The role of neuroimaging techniques for the definitive diagnosis as well as the follow-up of the patient is irreplaceable – every patient with suspected orbital pathology should be reffered as quickly as possible for imaging. Not every tumor requires surgical treatment. The decision whether to operate or not should be taken after careful consideration of the prognosis. Cooperation between specialists is critical for achievemend of the best possible outcome.

Key words: orbital tumors, intraconal orbital tumor, diagnostic and surgical treatment

Аddress for correspondation:

Vasileva, V.
Specialized Eye Hospital for Active
Treatment „Acad. Pashev“
51 Em. Vaskidovich, Str. 
1517, Sofia 
e-mail: plamenova.vasilena@gmail.com

Post navigation

Previous Previous
Exploring Intense Pulsed Light Therapy for Dry Eye Relief
NextContinue
Etiology and pathogenesis of retinal vein occlusion
Search
корица 12
All issues in 2023

Issue 12/2023

PULMONOLOGY Current guidelines for the diagnosis and treatment of COPD Yordanov, P., Dimitrova, V. The point of bronchial hyperreactivity (BHR)…

Корица - 112023
All issues in 2023

Issue 11/2023

Ear / Nose / Throat Allergic rhinitis – a risk factor for asthma Perenovska, P. Phenotypes of non allergic rhinitis…

корица 10
All issues in 2023

Issue 10/2023

Endocrinology Carcinogenic risk in obesity and diabetes mellitus Karamfilova, V., Nedeva, I. Anthropometric studies on the effect of yogurt fermented…

fb like

About us

GPNews magazine
A peer of the GP practice in our country
The only specialized edition for general practitioners
12 monthly booklets on topics vital to your practice

Menu

  • Home
  • About us
  • Contact us

Information

  • For authors
  • Publishing ethics
  • For advertising

Copyright © 2025 GPNews. All rights reserved.

Web design and SEO by Tribest

  • GDPR
Scroll to top
  • Home
  • Issues
    • 2025
    • 2024
    • 2023
    • 2022
  • Article summaries
    • AG and Neonatology
    • Allergology
    • Dental Health
    • Cardiology
    • Dermatology and Cosmetics
    • Endocrinology
    • From the Practice
    • Gastroenterology
    • History Teaches
    • In the World of Viruses
    • Nature Teaches
    • Neurology and Psychiatry
    • Nutrition, Dietetics, Metabolism
    • Oncology
    • Ophtalmology
    • Others
    • Otorhinolaryngology and Pulmonary Diseases
    • Pediatrics
    • Rheumatology and Diseases of the Joints
    • Test on a Clinical Case
    • Urology and Nephrology
  • Subscription
  • About us
  • For advertising
  • For authors
  • Publishing ethics
  • Contacts
  • GDPR
Search