DR. GAURAV GARG

Dr. RAKSHA RAO, Dr. SANTOSH G. HONAVAR

Abstract

Purpose: To evaluate the results of transconjunctival approach to orbital lesions.

Methods: It was a retrospective interventional case series and analysis of 102 consecutive cases of transconjunctival orbitotomy.

Results: Mean age was 46years (range,6weeks to 82years). 22 had extraocular motility restriction, 16 had diplopia, 8 had optic disc edema and 3 had optic disc pallor at presentation. The lesion was located predominantly in mid and posterior orbit in 92 patients; it was intraconal in 52, extraconal in 22, and both in 28. Tumor diameter ranged from 12 – 58 (mean, 26) mm. 90% of patients experienced recovery in 1 week (range,1-4). 3 had postoperative secondary bleeding that resolved with conservative measures. All had aesthetically satisfactory outcome.

Conclusion: Minimally invasive transconjunctival orbitotomy provides excellent access to most orbital lesions with faster surgery, quick postoperative recovery, minimal morbidity, and excellent aesthetic outcome.