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Unable to close eyes due to tumor pushing eyeball out

VnExpressVnExpress13/08/2023


Thai Nguyen A 60-year-old man had watery eyes and abnormally bulging eyeballs. He went to the doctor and found a tumor in his eye socket.

Doctors at Thai Nguyen Central Hospital assessed this as a rare case with a large tumor, which had complications of compressing the eyeball and optic nerve, causing bulging eyes. The patient could not close his eyes completely, had blurred vision, and eye pain, which greatly affected his appearance and daily activities.

The patient underwent microsurgery with an incision above the eye socket through the eyebrow arch to preserve the eyebrow arch. The 3x4 cm tumor was removed, the specimen was sent to the Department of Pathology for histopathology testing, the result was benign.

Preoperative photo of eyes not closed (left) and postoperative photo of eyes closed (right). Photo provided by the hospital

Photo before surgery, eyes not closed (left) and photo after surgery, eyes closed (right). Photo: Provided by the hospital

On August 13, Dr. Vu Ngoc Giang, Department of Neurosurgery - Spine, said that orbital tumors are rare. According to the American Cancer Society, the incidence of the disease is only about 1/100,000 people. The term orbital tumor is often used to refer to neoplasms (not metastases from other locations) that appear in the eye socket other than the eyeball.

Pathological lesions of orbital tumors are very diverse and the main treatment method is surgery. Meanwhile, the orbit is an area with delicate anatomy containing the eyeball with many important neurovascular structures. The microsurgical method through the temporal skull (extracranial incision into the orbit through the eyebrow arch) has the advantage of approaching the tumor, not having to cut bones, cosmetic surgery scars, avoiding damage to the eyelids and incomplete eye closure after surgery.

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

Le Nga



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