+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Prospective evaluation of fundus changes in patients with orbital mass lesions

Prospective evaluation of fundus changes in patients with orbital mass lesions

Retina 26(4): 415-421

Purpose: To study fundus changes associated with orbital mass lesions.Methods: In a prospective, interventional case series, 28 patients undergoing surgery for discrete orbital masses had detailed fundus examination under dilation using direct and indirect ophthalmoscopy. Preoperative visual acuity and the amount and duration of proptosis were noted. Fundus photographs were taken, and postoperative changes were documented. The main outcome measures were the frequency of various fundus changes and their correlation with other clinical features.Results: Nineteen (68%) of 28 patients had fundus changes; the commonest change was optic disk edema, seen in 14 patients (50%). The mean amount of proptosis +/- SD was 7.7 +/- 7.1 mm for patients with fundus changes and 4.22 +/- 2.1 mm for patients with normal fundus. Of 19 patients with fundus changes, 12 (63%) had an intraconal mass, and 11 (58%) had globe indentation. Twenty patients (71%) had diminished visual acuity preoperatively; of these patients, 8 (40%) had improvement in vision after surgery, 10 (50%) did not have any change in vision, and 2 (10%) had a postoperative decrease in visual acuity. Five (62%) of 8 patients with postoperative improvement in visual acuity had proptosis for < 2 years before surgery was undertaken, while only 1 (10%) of 10 patients retaining their preoperative vision had a duration of proptosis of < 2 years.Conclusion: Fundus changes are frequently seen with orbital masses. An increased amount of proptosis, intraconal location, and globe indentation are associated with fundus changes. Postoperative improvement in visual acuity is less likely in patients with a longer duration of symptoms.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 012881674

Download citation: RISBibTeXText

PMID: 16603960

DOI: 10.1097/01.iae.0000238544.67003.a4

Related references

A prospective comparison of fine-needle aspiration cytopathology and histopathology in the diagnosis of orbital mass lesions. British Journal of Ophthalmology 94(1): 128-130, 2010

Gallium-67 SPECT in the evaluation of orbital and ocular mass-like lesions. Nippon Acta Radiologica 53(6): 688-695, 1993

67Ga SPECT in the evaluation of orbital and ocular mass-like lesions. Nihon Igaku Hoshasen Gakkai Zasshi. Nippon Acta Radiologica 53(6): 688-695, 1993

Advantages of a fourth generation CT scanner in the management of patients with orbital mass lesions. Computerized Tomography 3(4): 279-290, 1979

Orbital mass lesions: US-guided fine-needle aspiration biopsy--experience in 37 patients. Radiology 213(2): 568-572, 1999

Orbital venography--(clinical evaluation of orbital lesions). Indian Journal of Ophthalmology 32(5): 355-358, 1984

CT guided fine needle aspiration cytology of thoracic mass lesions: a prospective study of immediate cytological evaluation. Indian Journal of Pathology and Microbiology 50(1): 51-55, 2007

Early Parenteral Nutrition in Patients with Biliopancreatic Mass Lesions, a Prospective, Randomized Intervention Trial. Plos one 11(11): E0166513, 2016

Evaluation of fundus lesions. Archives of Ophthalmology 104(8): 1124-1125, 1986

Prospective randomized evaluation of therapeutic decompressive craniectomy in severe traumatic brain injury with mass lesions (PRECIS): study protocol for a controlled trial. Bmc Neurology 16: 1, 2016

Isolated, bilateral orbital mass lesions during childhood. Journal of Pediatric Ophthalmology and Strabismus 19(4): 42-46, 1982

31 primary orbital mass lesions in infancy and childhood. Child's Brain 6(5): 255-261, 1980

Oblique computed tomography for orbital mass lesions. Radiology 129(1): 79-80, 1978

The normal fundus fluorescein angiogram and the normal fundus photograph. An analysis of fundus fluorescein angiography, colour and filter photography of the posterior pole of the eye in clinically healthy subjects and in diabetics without obvious lesions ophthalmoscopically. Acta Ophthalmologica. Suppl. 180: 1-30, 1986