关键词: 眼眶良性病变, 眼眶内容剜除术

Abstract: Objective  To analyze the indications of orbital exenteration for benign disease. Design  Retrospective case series. Participants Thirty-seven patients who had undergone orbital exenteration from November 1999 to August 2010 inclusive at Armed Police General Hospital. Methods Medical records of all patients were reviewed. Main Outcome Measures Type of orbital exenteration, pathologic diagnosis and reasons for orbital exenteration. Results The surgery types include total orbital exenteration(94.6%), subtotal orbital exenteration(5.4%), and total orbital exenteration with radioactive seeds(2.7%). Pathologic diagnosis were as the following: 11 cases (29.7%) of inflammatory pseudotumor, 8 cases (21.6%) of pleomorphic adenoma, 6 cases (16.2%)of meningioma, 4 cases (10.8%) of Wegener granuloma, 2 cases (5.4%) of hemangiopericytoma, and 1 case(2.7%) of paraganglioma, hemangioma, neurofibroma, fibrolipoangioma, baby pigmentosa tumors of neuroectoderm, and orbital osteoclasia, respectively. Reasons for orbital exenteration were as the following: recurrence or repeatedly recurrence (86.5%), no light perception of surgical eye( 54.1%), uncontrolled pain (43.2%), large or wide-spread tumor(40.5%), still advanced tumor with long time steroid therapy(27.0%). Conclusion The indications for orbital exenteration in management of benign orbital disease are recurrence or repeatedly recurrence of diseases with blindness, uncontrolled pain, large or wide-spread tumor. Orbital exenteration could be used to clear focal lesions completely and lower recurrence of orbital benign diseases significantly. (Ophthalmol CHN, 2014, 23: 243-246)

Key words: benign disease of orbital, orbital exenteration