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Causes of exenteration

SUMMARY

Purpose:

To analyze the causes of the exenterations performed at the Orbit Clinic of the Department of Ophthalmology of FMRP-USP.

Methods:

A retrospective analysis of 23 medical records of patients who were exenterated, at the Orbit Clinic of the Department of Ophthalmology, FMRP-USP, during a sevenyear period,from May 1992 to January 1998. The parameters analyzed were: sex, age, histopathologic findings and origin of the lesions.

Results:

Ali exenterations were performed in arder to treat neoplastic disorders. ln 95. 7 % of the cases the orbit was invaded by local neoplastic lesions. Of these, 61.9% presented with lesions that could be diagnosed by inspection. Most of them had eyelid tumors that had already been operated on in other clinics.

Conclusions:

Eyelid malignancies are extremely dangerous. They easily invade the orbits and are the main cause of orbital exenteration.

Keywords:
Orbit; Eyelid; Tumor; Exenteration

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