Orbit and Tumor Orbital Fracture

The 6 P in Orbital Disorder  Blow out  tulang jebol ke sinus maxillaris

 Blow in  tulang jebol ke cavum orbita
Pain
Intraorbital Foreign bodies
 Inflamasi
 Perdarahan Orbital hemorrhage
 Malignansi
 Metastasis TUMOR

Propotosis Adnexa tumor

 Axial  retorbulbar tumor/lesi  Eyelid tumor

 Superipr  maxillary sinus tumor  Benign: nevus, lipoma, milia
 Inferomedial  kista dermoid, lacrimal gland  Malignant  basal cell ca, SCC, adeno
 Inferolateral  abses ca, melanoma
 Bilateral  tiroid  Conjunctival Tumor
 Benign  Epidermoid cyst
Progresi  Malignant  Bowen disease
 Hari-minggu  inflamasi, malignansi  Intraocular Tumor
 Bulanan-tahunan  tumor benign Iris, ciliary, choroid melanoma
Retinoblastoma
Palpasi
Orbital Tumor
 Superonasal  mucoceles
 Superotemporal  lacrimal gland tumor  Congenital
 Kista dermoid
Pulsasi : fistula  Lipodemoid
 Vascular
Periorbital changes
 Hemangioma (kapiler/kavernosus)
 Salmon colored  limfoma  Neural
 Lid lag / lagoftalmos  tiroid eye Glioma, neurofibroma, meningioma,
 S shaped eyelid  neurofibroma schwannoma
 Mesenchymal  rhabdomyosarcoma
Pemeriksaan Klinis  Limfoproliferatif  limfoma
Primer  Lacrimal
Benign mixed tumor, adenoid cyst carcinoma,
 Observasi malignant mixed tumor
 CT, MRI, USG, foto polos  Secondary
Berasal dari eyelid atau sinus
Sekunder  Metastasis  mt jauh (leukemia, susu, dll)
 Venografi, arteriografi ONCOLOGY SURGERY
 CT, MR angiografi
 Eksisi
Patologi  Wide eksisi  rekonstruksi
 Biopsi: insisi, eksisi  Orbitotomy (anterior/lateral)
 Frozen Section  Orbital decompression
 Anophtalmic socket
Laboratory Ruang mata tak bermata
 Fungsi tiroid
 Imunohistokimia  limfoma
 Tumor marker  suspek metastasis

Orbital Infalamatory Disorder

Cellulitis : preseptal, orbital

Grave Ophthalmopathy

Trauma Orbital

Midfacial (le fort) fracture