Orbital Tumors Houston

This refers to any tumor, mass or space-occupying lesion located in the “orbit”, the bony socket in the skull that contains the eye and other ocular structures. The important thing to remember is that the orbit is a complicated and delicate structure that includes the eye, extraocular muscles, optic nerve and the fatty tissue in between all these structures. It is also in close proximity to other vital structures, including the brain and sinuses.

Although orbital tumors are rare, they can affect children and adults. They can be benign or malignant lesions. These tumors may arise primarily from within the orbital structures or from an adjacent source such as the eyelid, the sinuses or the brain. Alternatively, metastatic tumors from other parts of the body can also travel to the orbit.

Fortunately, most orbital tumors are benign, but need treatment in order to preserve vision and treat any deformity.

The orbit is a compact, crowded space where even a tiny tumor can cause significant signs and symptoms. Some of them are:

  • Proptosis or exophthalmos. This refers to a forward displacement or bulging of the eyeball
  • Double vision due to either involvement of the muscles of the eye by the tumor or a mass effect or displacement of these muscles
  • Change in vision or color perception
  • Pressure pain. This is due to pressure  on sensory orbital nerves
  • Eyelid swelling and redness
  • Visible or palpable mass

Most often, when an orbital tumor is suspected, the first step in diagnosis is neuroimaging with either a CT scan or MRI of the area, but confirmation of the nature of the lesion ultimately requires a biopsy. The treatment is tailored to the type of tumor, benign or malignant, and also varies by age group. In many cases, surgical treatment is required whereby, using the latest techniques and instruments, these tumors can be safely excised. In some cases, other medical treatments such as chemotherapy or radiation might also be recommended.

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At Houston Oculofacial Plastic Surgery, we pride ourselves on our compassionate patient care, our sensitivity and understanding of each patient’s needs and our drive for excellence.


If you would like to schedule a consultation with Dr. Mirwat Sami, please do not hesitate to contact us at 713-668-1264.
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