The document discusses various orbital tumors and conditions including proptosis, pleomorphic adenomas, and rhabdomyosarcoma, detailing their presentations, diagnosis, and treatment options. It also covers benign conditions like dermoid cysts and blood cysts, alongside other complications such as mucocele and optic nerve glioma. The document emphasizes treatment strategies such as surgery, radiotherapy, and chemotherapy for malignant cases.

1. Dr. Ankit Mahesh Punjabi Kota Eye Hospital, Kota, Rajasthan INDIA Email: drankitalways@gmail.com PROPTOSIS

2. PLEOMORPHIC L G ADENOMA PRE.:- painless, firm, non-tender CT scan Tre.:- surgery

4. MALIGNANT LG TUMOUR Fast growing Painful CT scan Tt.:- radiotherapy, surgery.

5. RHABDOMYOSARCOMA Most common primary malignant orbital tumour in children. The four main histological type :- 1. Embryonal 3. Botyroid 2. Alveolar 4. Pleomorphic

6. CLINICAL FEATURES Presentation:- first decade of life with a rapidly progressive proptosis. Examination:- diagnosis is conformed by biopsy. Systemic investigations:-CT of the chest, abdomen & pelvis, liver function test,bone marrow biopsy, and skeletal radiographs.

7. RHABDOMYOSARCOMA

8. TREATMENT Radiotherapy:- Chemotherapy:- Exenteration:-

9. DERMOID CYST A benign cystic teratoma :- The two main types:- 1. Superficial 2 . Deep

10. SUPERFICIAL DER0MOID CYST Located anterior to the orbital septum. Presentation:-infancy, firm, round, attachment to suture. Treatment is based on cosmetic indications.

12. DEEP DERMOID CYST Located posterior to the orbital septum. Presentation:-adolescence, proptosis. Treatment:-excision.

13. BLOOD CYST Relatively rare:- May be associated with blunt trauma, lymphangioma, venous anomalies and blood dyscrasia. Presentation:- progressive, non- tender proptosis.

14. MUCOCELE Frontal Ethmoid Presentation:- diplopia, proptopsis.

15. MACOCELE OF LEFT FORNTAL SINUS

16. OPTIC NERVE GLIOMA A slow-growing tumour. Affect in adults. Presentation:- visual loss first , proptosis. Examination:-disc oedema , atrophy. CT scan, fusiform enlargement of ON Treatment:- 1. Observation. 3. Surgical 2. Radiotherapy

17. MENINGIOMA Optic nerve sheath Rare Middle aged women Pre.:- slowly progressive, U L ,visual loss. Examination:- ocular movement restriction proptosis, disc oedema, atrophy. CT scan - tubular thickning of ON

19. TREATMENT OBSERVATION RADIOTHERAPY EXCISION

20. METASTATIC Children Neuroblastoma Ewing sarcoma Acute myeloid leukaemia

21. ACUTE MYELOID LEUKAEMIA

22. METASTATIC Adult Breast Bronchus Prostate GIT

24. TREATMENT Radiotherapy Hormonal Chemotherapy Surgery

25. ADJACENT STRUCTURES Maxillary ca. Ethmoidal ca.

28. N P

30. PRESEPTAL CELLULITIS

31. ORBITAL CELLULITIS

32. CAPILLARY HAEMANGIOMA

33. CAPILLARY HAEMANGIOMA

35. BILATERAL ORBITAL INVOLVEMENT BY LYMPHOMA

36. Thank You