[Bilateral periorbital metastases of transtional cell carcinoma of the bladder]. / Bilaterale periorbitale Metastasen eines Urothelkarzinoms der Harnblase.

Bladder cancers account about 3% of malignant tumors and often metastasize to regional lymph nodes, liver, lungs and skeleton. Metastases in the area of the orbital region are very rare. When eyelid swelling, proptosis, diplopia, or ocular pain occurs, an underlying neoplastic process should always be suspected. Due to the rapid progression of orbital metastases, diagnosis and early initiation of palliative therapy is important.

Neurofibroma.

Although neurofibroma is a rare orbital tumor, ophthalmic nurses may have the first opportunity to observe patients with this tumor. These patients may first be seen with normal visual acuity, proptosis, or affected ocular motility. An interesting patient who was diagnosed with an orbital neurofibroma is presented.

Exenteration: the nursing approach.

Knowledge of the operative procedure is essential to patient teaching. Knowledge of the stages of grieving and the recognition that it is an essential component to healing will help the nurse support the patient during the grieving process. Show the patient empathy and understanding by active listening and demonstrating caring.