Curative effect of different surgical approaches for orbital tumors
Journal Title: Guoji Yanke Zazhi - Year 2018, Vol 11, Issue 6
Abstract
AIM: To analyze the clinical effect of different surgical approaches for orbital tumors. <p>METHODS: A total of 52 patients(56 eyes)with orbital tumors who were admitted to the hospital from January 2012 to June 2017 were examined by brain MRI and orbital sectional CT scan to identify the relationship between tumors and surrounding anatomical structures. They were treated by orbitotomy, and the approaches included anterior conjunctival approach, lateral approach and combined medial and lateral approach. The removal of tumors, recovery of visual acuity, postoperative early complications and follow-up recurrence were statistically analyzed. <p>RESULTS: Among the 52 patients, there were 7 cases 8 eyes(14%)with residual tumors. The rate of residual tumors after anterior conjunctival orbitotomy(23%)was higher than that after lateral orbitotomy or combined medial and lateral orbitotomy(6%, 7%; <i>P</i><0.05). The visual acuity was improved in 28 cases 30 eyes(54%), no change in 18 cases 19 eyes(34%)and decreased in 6 cases 7 eyes(13%). The incidence of early complications was 23%, including 2 cases 2 eyes with accidental loss of vision, 2 cases 2 eyes with pupil changes, 3 cases 3 eyes with ptosis and 5 cases 6 eyes with eye movement disorders, which mainly occurred in the elderly. The recovery of visual acuity and the incidence rates of complications(23%, 19%, 29%)of the three kinds of surgical approaches were close(<i>P</i>>0.05). During the follow-up period, there were 3 cases 3 eyes(5%)with recurrence in the 52 patients, and the recurrence rate after combined medial and lateral orbitotomy(14%)was significantly higher than that after anterior conjunctival or lateral orbitotomy(4%, 0; <i>P</i><0.05). <p>CONCLUSION: The appropriate surgical approach can successfully remove the orbital tumors, improve or stabilize the visual function, and reduce complications and recurrence.
Authors and Affiliations
Qingge letu
Keywords
Related Articles
- EP ID EP563000
- DOI 10.3980/j.issn.1672-5123.2018.6.38
- Views 87
- Downloads 0
Implantable collamer lens for the correction of post-keratoplasty myopia and astigmatism
AIM: To evaluate the safety, refractive outcomes and vision after phakic posterior chamber implantable collamer lens(ICL)after keratoplasty(KP).<p>METHODS: This retrospective single center study evaluated 32(35 eyes)pati...
Observation of β-amyloid plaques in retinas from live Alzheimer's model mice in different months
AIM: To study the correlation of β-amyloid(Aβ)plaques in retinas from Alzheimer's model mice in different months and progression of disease. <p>METHODS: Six-month(<i>n</i>=6)and twelve-month(<i>n</i>=6)old Alzheimer's mo...
Effects of double-incision phacoemulsification combined with trabeculectomy on glaucoma with cataract
AIM: To explore the effects of double-incision phacoemulsification combined with trabeculectomy on visual acuity, intraocular pressure and complications in patients with glaucoma complicated with cataract. <p>METHODS: Th...
Use of the lower concentration of trypan blue staining technique during cataract surgery
AIM: To determine the lowest concentration of trypan blue(TB)used to stain the anterior capsule satisfactorily and to evaluate the clinical significance of trypan-blue-assisted capsulorhexis in cataract surgery. <p>METHO...
Influence of monovision design of cataract surgery on the prognosis visual quality in cataract patients
AIM:To investigate the influence of monovision design of cataract surgery on the prognosis visual quality in cataract patients. <p>METHODS: Totally 84 cases cataract patients(168 eyes)who receiving cataract surgery were...