Orbital Lesions: A bird’s eye view of series of 2068 cases in 27 years in a tertiary care hospital in Pakistan

  • Asad Aslam Khan College Of Ophthalmology and Allied Vision Sciences, King Edward Medical University
  • Sidrah Latif
  • Muhammad Ismail A Khan
  • Imran Ahmad
Keywords: Neoplastic lesions, secondary orbital lesions, hematopoietic orbital lesions, metastatic orbital lesions, Primary orbital lesions, case study

Abstract

Objective: To determine the relative frequency of orbital lesions based on the site of origin and histopathology at a Tertiary care hospital (Mayo Hospital, Lahore Pakistan) from 1996 till 2022 (27 years).

Methods: This descriptive case series included 2651 patients of all age groups presenting with orbital lesions who initially got enrolled at Institute of Ophthalmology Mayo Hospital, Lahore from 1996 till 2022. Of these, 583 patients left against medical advice. So, clinical data of 2068 patients were completely analyzed. Lesions were managed medically and/ or surgically. Final clinical diagnosis, with the help of histopathology, was used to classify the lesions.

Results: There were 1258 (60.9%) adults and 810 (39.1%) children, 1358 (65.66%) were neoplastic while 710 (34.33%) non-neoplastic lesions. Amongst the neoplastic lesions, 405 (29.8 %) were benign and 953 (70.2%) malignant. Primary orbital lesions were 1676 (81.04%), Secondary orbital lesions were 300 (14.51%), Endocrine/ hematopoietic reticulo-endothelial system lesions were 84 (4.06%) and Metastatic lesions from distant organs were 08 (0.39%).

Conclusion: Retinoblastoma, rhabdomyosarcoma, optic nerve gliomata were common in children. Pleomorphic adenoma & adenocystic carcinoma of lacrimal gland, cavernous hemangioma, optic nerve meningioma, neurofibroma, schwannoma, squamous cell carcinoma of eyelid, carcinoma of maxillary antrum and lymphomas were more common in adults

doi: https://doi.org/10.12669/pjms.40.8.9843

How to cite this: Khan AA, Latif S, Khan MIA, Ahmad I. Orbital Lesions: A bird’s eye view of series of 2068 cases in 27 years in a tertiary care hospital in Pakistan. Pak J Med Sci. 2024;40(8):---------. doi: https://doi.org/10.12669/pjms.40.8.9843

This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published
2024-08-01
How to Cite
Khan, A. A., Latif, S., Khan, M. I. A., & Ahmad, I. (2024). Orbital Lesions: A bird’s eye view of series of 2068 cases in 27 years in a tertiary care hospital in Pakistan. Pakistan Journal of Medical Sciences, 40(8). https://doi.org/10.12669/pjms.40.8.9843
Section
Original Articles