Delhi Journal of Ophthalmology

A Clinical Study on Evaluation, Indications, Surgical Techniques and Complications of Various Orbitotomies Done in a Tertiary Care Centre

R. Malarvizhi, K. Vasumathi, A. Anuradha, S. Sheela, A.D. Abinaya
Regional Institute of Ophthalmology & Govt Ophthalmic Institute, Egmore, Chennai, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

R. Malarizhi (DO, MS)
Regional Institute of Ophthalmology & 
Govt Ophthalmic Institute, Egmore, 
Chennai, India
Email id: docmalar@hotmail.com


Received: 19-APR-2019 Accepted: 25-OCT-2019 Published Online: 09-MAY-2020
DOI: https://dx.doi.org/10.7869/djo.521

Abstract
Objective: To analyse the incidence, indications, various clinical presentations, investigations to localize the lesion, various surgical approaches and complications of orbitotomy.
Study design: Prospective study
Study setting: Department of orbit and oculoplasty in a tertiary care centre (RIO GOH, Chennai) for a period of 6 months.
Materials and methods: Patients with orbital space occupying lesions and hematomas due to trauma were selected. Appropriate clinical examination to quantify the degree of proptosis and radiological investigation to localize the lesion were done. After anaesthetic fitness the patients were taken for orbitotomy under local/general anaesthesia.
Results: In this study most common indication for orbitotomy was dermoid Cyst (50%) followed by blow out fracture (20%). Most common approach in the study was medial approach (46.7%) followed by lateral approach(23.3%). Most of the incisions made were transcutaneous (63.3%) followed by transconjunctival (30%).
Conclusion: Early diagnosis and timely referral to expert orbital surgeon is mandatory for best results. In this study most of the patients had no significant complications. Transconjunctival incision had lesser incidence of postoperative complications and better cosmetic acceptance.

Keywords :Dermoid cyst, transconjunctival, orbitotomy