Unable to close eyes due to tumor causing eyeball protrusion.

In Thai Nguyen , a 60-year-old man experienced excessive tearing and an abnormally protruding eyeball. Upon examination, a doctor discovered a tumor in his eye socket.

Doctors at Thai Nguyen Central Hospital assessed this as a rare case with a large tumor that had complicated by compressing the eyeball and optic nerve, causing proptosis (bulging of the eye). The patient could not close their eyes completely, experienced blurred vision, and suffered from eye pain, significantly affecting their appearance and daily life.

The patient underwent microsurgery with an incision above the orbit through the eyebrow arch, preserving the eyebrow arch. A 3x4 cm tumor was removed, and the tissue sample was sent to the Department of Pathology for histopathological examination, which yielded benign results.

Before surgery, the eye was partially closed (left), and after surgery, the eye was fully closed (right). Photo: Provided by the hospital.

On August 13th, Dr. Vu Ngoc Giang, from the Department of Neurosurgery and Spine, stated that orbital tumors are rare. According to the American Cancer Society, the incidence is only about 1 in 100,000 people. The term orbital tumor usually refers to neoplastic tumors (not metastatic tumors from other locations) that appear in the orbit, excluding the eyeball.

Orbital tumors are highly diverse, and the primary treatment method is surgery. Meanwhile, the orbit is an anatomically delicate area containing the eyeball with many important nerve and blood vessel structures. Transtemporal microsurgery (an extracranial incision into the orbit via the eyebrow arch) offers advantages such as direct access to the tumor, no bone cutting required, aesthetically pleasing surgical scarring, and avoidance of ptosis and incomplete eyelid closure after surgery.

Currently, there is no way to prevent orbital tumors. However, people can improve their chances of treatment by seeking immediate medical attention if they notice any unusual symptoms.

Le Nga

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