By Peter K. Kaiser, Roberto Pineda II Neil J. Friedman
Read Online or Download The Massachusetts Eye and Ear Infirmary Illustrated Manual of Ophthalmology, 3rd Edition PDF
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Extra info for The Massachusetts Eye and Ear Infirmary Illustrated Manual of Ophthalmology, 3rd Edition
Treatment is with systemic glucocorticoids and chemotherapy. Letterer–Siwe disease Acute, systemic form. Occurs during infancy with hepatosplenomegaly, thrombocytopenia, and fever, and with very poor prognosis for survival. • Treatment is with systemic glucocorticoids and chemotherapy. Eosinophilic granuloma Localized form. Most likely to involve the orbit. Bony lesion with soft-tissue involvement that typically produces proptosis and more often is located in the superior orbit as a result of frontal bone disease.
Complete surgical excision should be performed by an oculoplastic or otolaryngology plastic surgeon. 0 g IV q6h). Neurilemoma (Schwannoma) Rare, benign tumor (1% of all orbital tumors) that occurs in young to middle-aged individuals. Patients have gradual, painless proptosis and globe displacement. May be associated with neurofibromatosis type 1. One of two truly encapsulated orbital tumors. Histologic examination demonstrates two patterns of Schwann cell proliferation enveloped by perineurium: Antoni A (solid, nuclear palisading, Verocay bodies) and Antoni B (loose, myxoid areas).
Intracranial extension is often fatal. • 44 Orbital CT scan: Irregular lesion with bony erosion. 45 Osteosarcoma Common primary bony malignancy; usually occurs before age 20 years old. • Orbital CT scan: Lytic lesion with calcifications. Metastatic Tumors Metastases account for 10% of all orbital tumors but are the most common orbital malignancy. Most common primary sources are breast, lung (bronchogenic), prostate, and gastrointestinal tract. Symptoms include rapid-onset, painful proptosis, limitation of extraocular movements, and diplopia.