ePoster listing and sessions

Topic: ESOPRS 2021 ePoster sessions
Time: Sep 17, 2021 16:00 Amsterdam, Berlin, Rome, Stockholm, Vienna, 15:00 London

 

 

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Minimally invasive transconjunctival orbitotomy- anatomical, functional and aesthetical approach

Author: Gaurav Garg
ePoster Number: 231


Purpose

Orbitotomy conventionally involves skin approach and often osteotomy and entails prolonged surgical time and postoperative morbidity. Minimally invasive transconjunctival approach, in contrast, offers a scar-free outcome with minimal complications. We evaluated our results of the transconjunctival approach to orbital lesions.


Methods

This was a retrospective interventional case series and analysis of 102 consecutive cases of transconjunctival orbitotomy from January 2001 to April 2018. All the cases were operated by a single surgeon. It was the surgeon’s choice for transconjunctival orbitotomy depending on the location of the tumor on neuroimaging. In the postoperative period, all the patients were well scrutinized and followed till one year.


Results

Of 102 patients, 63 were males and 39 were females. The mean age was 46 years (range, 6 weeks to 82 years). All the patients manifested proptosis, 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 the mid and posterior orbit in a majority (92) patients; it was intraconal in 52, extraconal in 22, and both intra- and extraconal in 28. Maximum tumor diameter ranged from 12 – 58 (mean, 26) mm. The conjunctival incision was transcaruncular in 12, inferior forniceal in 32, inferior forniceal with transcaruncular extension in 18, and inferior forniceal with lateral canthotomy and inferior cantholysis in 40. Duration of surgery ranged from 20-120 (mean 70) minutes. In all, 90% of patients experienced recovery in 1 week (range, 1-4). Three patients had postoperative secondary bleeding that resolved with conservative measures. None of the patients had new-onset functional problems. All the patients 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.


Additional Authors

First nameLast nameBase Hospital / Institution
SantoshHonavarCentre for Sight, Hyderabad, India
RakshaRaoNarayana Nethralaya, Bangalore, India

Abstract ID: 21-122