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March 28, 2022
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Complete exam, full lesion removal important to treat orbital tumors

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PHILADELPHIA — It is essential for ophthalmologists to look into the eye, flip the lid and remove the lesion completely when assessing and treating orbital tumors, according to a speaker here.

“Know your odds. We are all ophthalmologists — examine your patients well,” Sarah E. Lally, MD, said at the Wills Eye Conference.

Sarah E. Lally

Lally said it is important for physicians to always perform a complete examination in cases of orbital tumors. In addition, she discussed a prior study of more than 240 orbital tumors that found that the older that patients were, the more likely the tumor was going to be malignant. The most common tumors observed were lymphoid, pseudotumor and hemangioma, she said.

“When looking at orbital tumors, you need to categorize them into four main topics: vascular, inflammatory, cystic or neoplastic,” Lally said. “When condensing both old and young patients, lymphoma, pseudotumor, cavernous hemangioma, lymphangioma, meningiomas, gliomas, dermoid cysts and rhabdomyosarcomas will top off your list.”