Items tagged “orbit”

46 results found
Article

Abducens nerve

The abducens nerve is the sixth cranial nerve (CN VI). It is a motor nerve responsible for abduction of the eye (TA: nervus abducens or nervus cranialis VI). It courses from the abducens nucleus, located in the dorsal pons, up to the cavernous sinus, via a long cisternal segment that is prone to...
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Capillary hemangioma of the orbit

Capillary hemangiomas of the orbit, also known as strawberry hemangiomas, on account of its coloring, or orbital infantile hemangiomas, are the most common orbital tumors of infancy, and unlike orbital cavernous hemangiomas, they are neoplasms rather than vascular malformations. Clinical presen...
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Idiopathic orbital inflammation

Idiopathic orbital inflammation, also known as orbital pseudotumor and non-specific orbital inflammation, is an idiopathic inflammatory condition that most commonly involves the extraocular muscles. Less commonly there is inflammatory change involving the uvea, sclera, lacrimal gland, and retrob...
Article

Phthisis bulbi

Phthisis bulbi, also known as end-stage eye, is an atrophic scarred and disorganized non-functioning globe that may result from a variety of severe ocular insults.  Epidemiology In general, phthisis bulbi involves elderly patients, usually 65-85 years of age 7. Children and adolescents are onl...
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Retinoblastoma

Retinoblastomas are the most common intraocular neoplasm found in childhood and with modern treatment modalities, are, in most cases, curable. On imaging, they are generally characterized by a heterogeneous retinal mass with calcifications, necrotic components and increased vascularization on D...
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Orbital mass

An orbital mass carries a wide differential. Differential diagnosis tumors lymphoma metastasis lacrimal gland or duct tumors rhabdomyosarcoma of the orbit retinoblastoma optic nerve meningioma optic nerve glioma schwannoma (of trigeminal or other cranial nerves except optic) neurofibr...
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Ophthalmic artery

The ophthalmic artery is a branch of the supraclinoid (C6) segment of the internal carotid artery. Gross anatomy Origin The ophthalmic artery arises medial to the anterior clinoid process as the internal carotid artery exits the cavernous sinus. It originates from the antero- or supero-medial...
Article

Orbital venous varix

Orbital venous varix (plural: varices) is an uncommon vascular malformation that is composed of enlarged single or multiple tubular venous channels within the orbit with direct communication to the systemic venous system.  Terminology Orbital venous varices are divided into primary and seconda...
Article

Trilateral retinoblastoma

Trilateral retinoblastoma refers to the combination of retinoblastoma (usually bilateral) and pineoblastoma. This relationship highlights the close relationship between these highly aggressive small round blue cell tumors. It affects only a minority of patients with retinoblastoma (1.5-5%) and ...
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Optic pathway glioma

Optic pathway gliomas are relatively uncommon tumors, with a variable clinical course and usually seen in the setting of neurofibromatosis type I (NF1). Histologically the majority are pilocytic astrocytomas. They are characterized by imaging by an enlarged optic nerve seen either on CT or MRI....
Article

Tram-track sign (orbit)

Tram-track sign refers to the parallel thickening and enhancement around the optic nerve, and is most frequently seen in the setting of optic nerve meningioma. It may, however, also be seen in 1: orbital pseudotumor perioptic neuritis orbital sarcoidosis orbital leukemia orbital lymphoma o...
Article

Primary uveal malignant melanoma

Malignant uveal melanomas, also referred to as choroidal melanomas, are the most common primary tumor of the adult eye 3.  Epidemiology Malignant melanoma of the uvea is the most common primary intraocular malignancy and is predominantly seen in the White population 5. The incidence of these t...
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Optic disc drusen

Optic disc drusen (ODD), or hyaline bodies, are a relatively common entity usually found incidentally on CT or on follow-up of abnormal fundoscopy. Epidemiology Optic disc drusen are identified radiographically in up to 0.3-3.7% of the population and are frequently bilateral 1,4,5. They are ty...
Article

Choroidal osteoma

Choroidal osteomas are rare benign calcific masses of the globe.  Epidemiology Choroidal osteomas are typically found in young Caucasian women 1. A number of familial cases have been reported 3.  Clinical presentation These lesions are usually unilateral (75%), and result in painless and gra...
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Silent sinus syndrome

The silent sinus syndrome represents maxillary sinus atelectasis that results in painless enophthalmos, hypoglobus and facial asymmetry 1-3. Some authors restrict the term to patients with no history of sinusitis, trauma or surgery 2. Some authors suggest that is part of the spectrum of chronic ...
Article

Retinoblastoma (staging)

Retinoblastoma staging can be via a number of systems with various end-points and multiple systems are often used concurrently. Staging Reese Ellsworth classification The Reese Ellsworth classification is assessed with fundoscopy and aims at predicting the chance of preserving the eye with ex...
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Orbital lymphoma

Primary lymphoma of the orbit is one of the most common orbital tumors and accounts for as much as half of all orbital malignancies. It is a B-cell non-Hodgkin lymphoma, and in most cases arises from mucosa-associated lymphoid tissue (MALT). Epidemiology Orbital lymphomas account for only 2% o...
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Orbital cavernous venous malformation

Cavernous venous malformations of the orbit, also known as cavernous hemangiomas, are the most common vascular lesion of the orbit in adults. It is important to note that according to newer nomenclature (ISSVA classification of vascular anomalies) these lesions are merely known as slow flow ven...
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Orbital vascular lesions

Orbital vascular lesions may be difficult to distinguish on imaging. However, the following conditions have been described: arteriovenous malformation (AVM) capillary hemangioma cavernous hemangioma orbital lymphangioma / lymphangiovenous malformation / venolymphatic malformation orbital ve...
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Intraconal orbital compartment

The intraconal orbital compartment or intraconal space is the conical space within the orbit and musculofascial cone, the base of which is anterior and is formed by the posterior half of the globe. The sides are formed by the extraocular muscles and their surrounding fascia which pass posteriorl...

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