Intraorbital Cysticercosis Treatment with Lateral Orbitotomy

A 33-year-old female from Uzbekistan visited our hospital with symptoms of right blurred vision, ocular pain which were exacerbated by ocular movement, and exophthalmosis for 2 months. Preoperative facial CT scan showed 3.2x2.4cm-sized cystic mass at the right retrobulbar area. The mass was located at temporal aspect of retrobulbar area and displaced optic nerve medially. Right eyeball was anteriorly displaced at the degree of 7mm than left one and intra-ocular pressure was raised as 32 mmHg compared with left one which estimated at 15 mmHg. Removal of cytic mass was performed using lateral orbitotomy. After incision was made through Stellard- Wright incision, dissection was done to lateral outer orbital periosteum then the periosteum each side of lateral orbit were dissected for lateral orbitotomy. Removal of lateral orbital wall, which was enough to removal cystic mass, by lateral orbitotomy, was done then lateral rectus muscle was divided without cutting. Cystic mass could be resected after lateral rectus muscle was divided and resected lateral orbital bone piece was re-located and fixed by absorbable miniplate. A satisfactory result could be obtained by this procedure. Postoperative intra-ocular pressure was lowerd as 15mm Hg and exophthalmosis was corrected at the degree of 1mm on Hertel's exophthalmometery and visual acuity improved at the degree of 1.0 on optomety compared with preoperative one which estimated 0.04. Preoperative symptoms such as ocular pain, foreign body sensation, headache were disappeared without any complication just like retrobulbar hemorrhage, infection etc.

Removal of Deep Orbital Tumor through Small Incision Approach

PURPOSE: We report on the effectiveness of the small incision anterior approach for the deep orbital tumor. METHODS: The authors operated on 5 patients with deep orbital tumor using the small incision anterior approach. RESULTS: Five cases , 2 neurilemmomas, 1 orbital dermoid cyst, 1 angiofibroma, and 1 osteoma, were treated surgically with the small incision anterior approach and had good cosmetic result, early recovery, and showed no serious complications. CONCLUSIONS: The small incision anterior approach for the deep orbital tumor has a number of advantages over lateral orbitotomy, including shorter operation time, early recovery and good cosmetic results. Nevertheless, this technique requires a precise preoperative diagnosis.

A case of Retrobulbar Intramuscular Hematoma

PURPOSE: To report a case of retrobulbar hematoma within the lateral rectus muscle which resulted in sight-threatening complication. METHODS: A 40-year-old male presented with a chief complaint of painless mass and exophthalmos. Exicional biopsy via lateral orbitotomy and direct decompression of the muscle were performed to the diagnosis and treatment. RESULTS: After decompression, improvement of the exophthalmos was achieved. This case illustrated a potentially serious complication of retrobulbar hematoma following minor periorbital trauma. The successful outcome may be achieved by rapid diagnosis and intervention.

Case Report of Retained Intraorbital Metallic Foreign Body Removal

Retained intraorbital foreign body after penetrating orbital injury may affect adjacent tissue and lead to many ophthalmological sequeles such as visual disturbance, EOM limitation, diplopia, strabismus, orbital cellulitis and orbital abscess. If intraorbital foreign body intrudes into adjacent CNS system, it may lead to fatal complications such as meningitis and brain abscess. We should diagnose and treat intraorbital foreign body early and accurately to prevent complications, and rehabilitate damaged tissue anatomically and functionally. A patient with retained intraorbital foreign body after penetrating lower lid injury was transferred to our hospital for lid swelling and periocular pain. We diagnosed and confirmed intraorbital foreign body with use of plain X ray and orbital CT, and removed it with lateral orbitotomy surgical approach.

Case Report of Retained Intraorbital Metallic Foreign Body Removal

Retained intraorbital foreign body after penetrating orbital injury may affect adjacent tissue and lead to many ophthalmological sequeles such as visual disturbance, EOM limitation, diplopia, strabismus, orbital cellulitis and orbital abscess. If intraorbital foreign body intrudes into adjacent CNS system, it may lead to fatal complications such as meningitis and brain abscess. We should diagnose and treat intraorbital foreign body early and accurately to prevent complications, and rehabilitate damaged tissue anatomically and functionally. A patient with retained intraorbital foreign body after penetrating lower lid injury was transferred to our hospital for lid swelling and periocular pain. We diagnosed and confirmed intraorbital foreign body with use of plain X ray and orbital CT, and removed it with lateral orbitotomy surgical approach.