DR. SAHIL AGRAWAL

Dr.Rachna Meel, Prof.Dr. SEEMA KASHYAP, Dr. NEELAM PUSHKER

Abstract

PURPOSE To determine the clinical indications for orbital exenteration, demographic profile & clinicopathological correlations, and compare it with previous data.

METHOD Retrospective study

RESULT Study revealed 352 cases(222 M & 130 F)who underwent exenteration with a median age of 43.86 years(11 months to 87 years). HPE showed most commonly eyelid tumors(156) followed by retinoblastoma(66) and primary orbital tumors. SCC(94) was the most common eyelid tumor,while adenoid cystic carcinoma of lacrimal gland(17) was the most common primary orbital tumor. In 11 cases, it was performed as a debridement procedure for control of infection.

CONCLUSION Eyelid & periorbital malignancies are the most common indications worldwide. In our study, SCC & Extraocular Rb were the commonest for which exenteration was performed, in contrast to higher incidence of BCC reported in West. Early diagnosis and treatment with a close follow up can avoid secondary orbital spread and need for exenterations .

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