Bakunowicz-Lazarczyk A, Mariak Z, Stankiewicz A, Kita D
Katedry I Kliniki Okulistycznej AM w Białymstoku.
Klin Oczna. 1996;98(6):441-3.
To analyse the results of surgical treatment of tumors located in the posterior part of the orbit.
12 patients (5 women and 7 men, aged 10-70 years) with tumors located in the posterior part of the orbit, operated on in the years 1985-1995 in Ophtalmology Clinic in Bialystok with the use of Krönlein-Berke-Reese lateral orbitotomy method. Tissues of removed tumor were evaluated histopathologically.
In 7 cases tumor was removed completely, including 3 cases with simultaneous optic nerve removal. In 3 other cases tumor was removed partially, whereas in 2 cases eventration of the orbit was necessary. Persistent postsurgical defects of the eyeball mobility were not found in any of the patients. In 2 patients with partially removed tumor a constant blepharoptosis was observed, which required further operation. Visual acuity in patients with preserved optic nerve remained unchanged in 6 out of 7 cases. In 1 case-completely removed cavernoma-visual acuity decreased from 5/7 to 5/16.
Lateral orbitotomy enables successful removal of tumors located in the posterior part of the orbit. Moreover, this method is relatively safe, especially in comparison with cranial approach to tumors badly located in the orbit.
分析眼眶后部肿瘤的手术治疗结果。
12例眼眶后部肿瘤患者（5例女性，7例男性，年龄10 - 70岁），于1985 - 1995年在比亚韦斯托克眼科诊所采用克伦莱因 - 伯克 - 里斯外侧眶切开术进行手术。对切除肿瘤的组织进行组织病理学评估。
7例肿瘤完全切除，其中3例同时切除视神经。另外3例肿瘤部分切除，2例需要行眶内容剜出术。所有患者均未发现术后眼球运动持续存在的缺陷。2例肿瘤部分切除的患者观察到持续性上睑下垂，需要进一步手术。保留视神经的患者中，7例中有6例视力保持不变。1例完全切除的海绵状血管瘤患者，视力从5/7降至5/16。
外侧眶切开术能够成功切除眼眶后部肿瘤。此外，该方法相对安全，尤其是与针对眼眶位置不佳肿瘤的开颅手术相比。
