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Specialist orbital care

Orbital Disorders & Surgery Services

Diagnosis and treatment of orbital tumors, inflammation, trauma, pressure disorders and thyroid eye disease.

Clinical examples of orbital disorders and surgery at Ocuprime Eye Institute
Clinical imagery from the Ocuprime archive

The orbit is the bony socket containing the eye, muscles, optic nerve, blood vessels and supporting tissues. Orbital disease can affect eye position, movement, vision and facial appearance at the same time.

Ocuprime provides diagnostic and surgical care for structural, vascular, inflammatory and neoplastic orbital conditions, with an emphasis on protecting the optic nerve and restoring anatomy.

At a glance

Conditions and treatments

  • ✓Orbital and adnexal tumor surgery
  • ✓Orbital malignancy care
  • ✓Secondary glaucoma assessment
  • ✓Orbital fracture repair
  • ✓NSOID management
  • ✓Thyroid eye disease management

Orbital and adnexal tumors

Orbital masses may cause proptosis, double vision, deep pain or reduced vision. They can arise within the orbit, extend from nearby structures or spread from another organ.

Imaging and planning

Contrast-enhanced CT, MRI and ultrasound help define the lesion and its relationship to the optic nerve, muscles and orbital bones.

Customized orbitotomy

Anterior, transconjunctival, lateral or combined approaches are selected for biopsy or tumor removal while protecting vision and eye movement.

Tumor range

Care includes benign and malignant lesions such as cavernous hemangioma, dermoid cyst, schwannoma, lacrimal-gland tumors and lymphoproliferative disease.

Orbital malignancies and multidisciplinary oncology

Biopsy and profiling

Incisional or excisional biopsy with histopathology and immunohistochemistry supports diagnosis and staging.

Coordinated treatment

Medical and radiation oncologists are involved when radiation, chemotherapy or targeted therapy is required.

Exenteration and reconstruction

Advanced, non-salvageable malignancies may require exenteration followed by reconstructive and prosthetic rehabilitation.

Secondary glaucoma and orbital pressure

Tumors and vascular malformations can raise orbital or episcleral venous pressure and contribute to secondary glaucoma.

Assessment

Evaluation distinguishes direct mass effect from altered venous drainage and identifies risk to the optic nerve.

Treatment

Managing the primary orbital cause through surgery or medical therapy can help relieve pressure and protect optic-nerve function.

Orbital trauma and fracture repair

What it is

Blunt trauma may fracture the orbital floor or walls, causing double vision, restricted movement, enophthalmos or cheek numbness.

Our approach

Reconstructive surgery releases trapped tissues and restores bony contours with an implant selected for the individual defect.

Non-specific orbital inflammatory disease (NSOID)

What it is

A non-infectious, non-neoplastic inflammatory disorder affecting orbital fat, muscles or lacrimal gland, often with pain, swelling, redness or double vision.

Our approach

Evaluation excludes infection and malignancy. Treatment may include corticosteroids, other immunosuppressive medicines or biologic therapy, with biopsy when indicated.

Thyroid eye disease

Active phase

Medical treatment and ocular-surface protection aim to control inflammation and protect vision.

Stable phase

Rehabilitation may include orbital decompression, strabismus surgery and eyelid-retraction repair according to need.

Related educational material

Clinical and surgical recordings may contain sensitive medical imagery.

Lateral orbitotomy via an eyelid-crease approachEducational surgical recording by Dr Sonal Yadav.

Academic references and authored works

  1. Sharma H, Yadav SP. Orbital and Adnexal Tumors. In Oculoplastic and Orbit Casebook. ↗
  2. Yadav SP. Glaucoma Related to Ocular and Orbital Tumors. IntechOpen. DOI: 10.5772/intechopen.96907. ↗
  3. Yadav SP, Puntambekar A, Patil T, Deshpande R. Eyelid Lesion as a Presenting Sign of Pancreatic Adenocarcinoma. Ophthalmic Plastic and Reconstructive Surgery. 2020;36(6):e149-e152. ↗
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Specialist attention

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