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Risk factors resulting in late diagnosis of symptomatic orbital tumors

Poster Details

First Author: S.Kavuncu TURKEY

Co Author(s):                        

Abstract Details


To evaluate factors leading to late diagnosis in symptomathic orbital and intracranial tumors.


Ulucanlar Eye Training and Research Hospital, Ankara, Turkey.


This observational, case-series study includes data of the patients referred to the Neuro-ophthalmology department between 2010-2018. Age, gender, symptoms and diagnosis at the first ophthalmological examination, duration between the first symptoms and last diagnosis, nature and anatomical location of the tumor, mortality and morbidity resulted from tumor were recorded for each included patient. Patients with tumor diagnosis in medical history were excluded.


This study includes 14 patients of which 4 male and 10 female. Median age at diagnosis was 59,92 ± 20,26 (23-88 years).The most frequent symptoms at the first presentation were as follows; double and blurred vision, aching of the eye, ptosis of eye lid, exophthalmos. Following the first presentation the most frequent diagnosis were thyroid ophthalmopathy of Grave's, senil ptosis, 6th nerve palsy, dry eye syndrome and extraocular muscle myositis. The most frequently seen misdiagnosed tumors were menengioma and glioma. The most frequent anatomical locations of tumor were cavernous sinus and orbital apex.


Conclusions: Diagnosis of the orbital tumors is frequently difficult especially in early stages of the disease . During the treatment of the patients even with simple ocular symptoms resistant to traditional treatment modalities, should alert the clinician to search for a growing intraorbital malignancy to decrease mortality and morbidity of the tumor. Author declares no financial interest.

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