Orbital Surgery

The Orbit (eye and surrounding bones) can be adversely affected by the presence of a tumor. The tumor could produce forward protrusion of the eye, reduce vision due to compression upon the nerve, or cause double vision. Most orbital tumors are benign (non-cancerous), however, some can be malignant (cancerous), especially in the elderly. Appropriate management of such cases needs a CT scan or MRI imaging followed by complete removal or partial (diagnostic) biopsy of the tumor.



Left orbital tumor (haemangioma) removed via cosmetically hidden incision



Left orbital lymphangioma removed via cosmetically hidden incisions.



Right upper eyelid haemangioma refractory to steroid therapy removed via cosmetically superior eyelid crease incision.



Forward protrusion of right eyeball due to a benign tumor behind the eyeball. Removal was performed by minimally invasive orbital surgery through a small incision hidden within the upper eyelid fold, without traditional removal of the bony orbital rim

Surgical Time and Recovery:
In most situations, it is possible to remove the tumor by performing a surgery called orbitotomy. The surgery is performed through an incision that is hidden behind the eyelid or within the upper lid fold. Eyeball function is preserved. In severe cases however, it is sometimes necessary to remove the eye completely.
It can be performed under local or general anaesthesia, depending upon the location of the tumor, and can take anything from 45 minutes to 3 hours.
Discomfort is controlled with medications after surgery, and lasts for a week. Stitches are removed in 5-7 days. Most patients are back to light work within a week.

Note:
It is not possible to remove all tumors completely, especially when there is a suspicion of cancer. A small biopsy (incisional biopsy) is performed for diagnosis, and remaining tumor is treated with medications or radiation based on final pathology diagnosis.

Insurance:
Health insurance will cover the costs of an orbital tumor removal and associated reconstruction.

Other Procedures
Other commonly performed reconstructive procedures include correction of Eyelid Lift (Blepharoplasty), Entropion, Ectropion, Eyelid Drooping, Eyelid and Skin cancer reconstruction, Facial Spasms, Facial Paralysis, Watering Eyes, Thyroid Eye Disease, and Trauma and Maxillofacial Surgery