Orbital Tumors (Tumors in the Eye Socket)

What Is an Orbital Tumor?

The orbit is the bony eye socket that contains the eye, muscles, nerves, fat, and blood vessels. A growth in this area is called an orbital tumor. Tumors may be:

  • Benign (non-cancerous)
  • Cancerous
  • Primary (starting in the orbit)
  • Secondary (spreading from nearby areas such as the sinuses, skin, or brain)

Orbital tumors can occur in both children and adults. Some grow slowly, while others progress quickly.

Symptoms

Some orbital tumors cause no symptoms in the beginning. Others may lead to:

  • Bulging of the eye (proptosis)
  • Double vision
  • Eye pain or pressure
  • Blurred or reduced vision
  • Eyelid swelling or drooping

In rare cases, untreated tumors may cause permanent vision loss. If you notice these symptoms, consult an eye specialist who has expertise in orbital conditions.

Diagnosis

Evaluation usually begins with a detailed eye and eyelid examination. Tests may include:

  • CT scan or MRI to see the tumor’s size and location
  • Biopsy (removal of a small tissue sample) to confirm the diagnosis

Accurate diagnosis is essential in deciding the best treatment.

Treatment Options

The approach depends on the type, size, and location of the tumor:

  • Observation – some small, benign tumors may just be monitored
  • Surgery – removal of the tumor
  • Radiation therapy
  • Chemotherapy or immunotherapy

For complex cases, your oculoplastic surgeon may work together with neurosurgeons or ENT (ear, nose, and throat) specialists.

Risks and Complications

Any orbital tumor can affect vision or eye movement. Treatments like surgery also carry risks such as:

  • Bleeding
  • Infection
  • Vision changes
  • The need for additional procedures

Summary

Orbital tumors are rare but treatable. Some require only monitoring, while others need urgent treatment. Your oculoplastic surgeon will guide you through diagnosis and recommend the best plan to protect your vision and health.

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ASOPRS Oculofacial Plastic Surgeon
Assistant Professor and Chief of Oculoplastic Service
Faculty of Medicine Siriraj Hospital Mahidol University

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Department of Ophthalmology
14th Floor, Syamindra Building
Faculty of Medicine Siriraj Hospital
2 Wang Lang Road, Siriraj Subdistrict
Bangkok Noi District, Bangkok 10700
Thailand

 

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