Multi-parametric magnetic resonance imaging characterization of orbital lesions: a triple blind study

Russo, Camilla; Strianese, Diego; Perrotta, Marianna; Iuliano, Adriana; Bernardo, R. Correia; Romeo, Valeria; Ugga, Lorenzo; Brunetti, Lisa; Tranfa, Fausto; Elefante, Andrea

doi:10.1080/08820538.2020.1742358

Cited by 11 publications

(5 citation statements)

References 30 publications

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“…So, if there is no visual potential like in our case and there is disfiguring proptosis, surgical intervention is recommended [11]. No peculiar MRI findings can help in the differential diagnosis [12]. Aggressive surgical treatment of optic pathway gliomas decreases both morbidity and mortality [13], as exemplified in our case where complete tumor resection led to an excellent prognosis with no tumor recurrence during a 2-year follow-up period.…”

Section: Discussionmentioning

confidence: 94%

Unusual Case of Unilateral Neonatal Eyeball Luxation: A Case Report

S. Alghamdi,

S. Alrajeh,

S. Alsalem

et al. 2024

OJOph

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The newborn infant presented with severe proptosis. Data on clinical history, presentation, photos, radiological imaging, and laboratory results were presented. A literature review was conducted for the case and relevant treatment modalities. The surgical technique and the outcome were also discussed. The mass was present since birth in a full term neonate, causing complete globe dislocation of the left eye. Imaging showed a large cystic retro-bulbar mass completely occupying the orbital cavity and causing anterior dislocation of the left globe. Surgical excision of the tumor was carried out with globe preservation and Histopathology examination confirmed the diagnosis of optic nerve glioma. This was an atypical presentation of an optic nerve glioma causing globe dislocation in a neonate. The resection of such a large orbital tumor made globe preservation possible and resulted in an excellent cosmetic outcome.

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Section: Discussionmentioning

confidence: 94%

Unusual Case of Unilateral Neonatal Eyeball Luxation: A Case Report

S. Alghamdi,

S. Alrajeh,

S. Alsalem

et al. 2024

OJOph

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“…4 The additional use of diffusion-weighted imaging significantly improves the differentiation of benign from malignant orbital masses. 5 Substantial enlargement of a noninflammatory…”

Section: Discussionmentioning

confidence: 99%

Metastatic versus metachronous adenoid cystic carcinoma in the lacrimal gland fossa: a case report

Wong

Chan

Chu

et al. 2021

Hong Kong Journal of Ophthalmology

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A 53-year-old woman presented with a left painless enlarging lacrimal fossa lesion with hypoglobus and choroidal folds. 18 months earlier, she had undergone surgery and chemoradiotherapy for right maxillary sinus adenoid cystic carcinoma. After initial 1.5T magnetic resonance imaging, a double primary of left lacrimal gland adenoid cystic carcinoma with tricompartmental (frontal bone, lacrimal and temporalis fossa) involvement was suspected. However, subsequent high-field multiparametric 3T magnetic resonance imaging suggested a solitary metastasis with a subperiosteal location and an uninvolved lacrimal gland. The solitary metastasis was confirmed intraoperatively and pathologically. CASE REPORT HKJOphthalmolVol.25 No.1 lacrimal fossa lesion within a short period together with invasion to the surrounding frontal bone and temporalis fossa was highly suggestive of malignancy. However, on high-field 3T MRI, the subperiosteal location and the normal lacrimal gland concluded that the diagnosis of an advanced primary lacrimal gland ACC was unlikely.Only one case of metachronous primary ACC has been reported; the patient had a history of an index maxillary sinus ACC with esophageal carcinoma 14 years later. 6 Whereas there have been 12 cases of lacrimal gland or maxillary sinus ACC with metastasis to other organs including liver, kidneys, and lungs. [7][8][9][10][11][12][13][14][15][16] Therefore, primary versus metachronous ACC are differential diagnoses. High-field multiparametric MRI is an important tool to assess orbital masses.

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“…They were examined at the Orbital Unit of the University of Naples Federico II from January 2009 to June 2019. The inclusion criteria were a diagnosis of TED, stability of the thyroid condition, inactive ocular inflammatory phase, diplopia in primary gaze or downgaze, primary or secondary diplopia (post-orbital decompression), stability of eye motility disorders for a minimum of 3 months, preoperative assessment including orbital imaging 16 and orthoptic examination, and a minimum of 12 months’ postoperative follow-up. Patients who had undergone previous strabismus surgery in other centres were excluded.…”

Section: Methodsmentioning

confidence: 99%

Outcomes and risk factors of surgical management of thyroid eye disease–related diplopia

Laezza

Concilio

Giordano

et al. 2022

European Journal of Ophthalmology

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Objectives: To evaluate the outcomes of strabismus surgery in patients with thyroid eye disease (TED) and to assess the influence of preceding treatments such as steroid administration, orbital decompression and radiotherapy. Methods: Retrospective study on a cohort of patients with TED undergoing strabismus surgery. Data collection included clinical features, smoking status, preceding steroid therapy, orbital radiation therapy and orbital decompression. Qualitative evaluation, assessing diplopia and quality of life and quantitative evaluation, assessing the eye misalignment were analysed 1 year after the last squint surgical procedure. Results: Seventy-nine patients were identified. Ninety-five surgical procedures were performed on 92 eyes. A significant overall improvement of ocular motility was registered ( p < 0.001, paired t-test). Forty-five (57%) patients had excellent outcomes, twenty-three (29%) had good outcomes and eleven (14%) had poor outcomes. The average number of muscles operated was significantly greater in patients who underwent orbital bone decompression (1.58 ± 0.63; p = 0.0082; 95% CI 1.413–10.214). Quantitative and qualitative outcomes were not associated with the preceding therapy: steroid ( p = 0.75), radiotherapy ( p = 0.95) or orbital bone decompression ( p = 0.25). The success rate was no different between adjustable and fixed sutures ( p = 0.8). Conclusion: Strabismus surgery in TED patients resulted in a high success rate in reducing diplopia and improving ocular motility. The success rate was not negatively associated with previous therapies. Indeed, resolution of diplopia required more squint procedures in patients who have previously undergone to orbital decompression.

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Multi-parametric magnetic resonance imaging characterization of orbital lesions: a triple blind study

Cited by 11 publications

References 30 publications

Unusual Case of Unilateral Neonatal Eyeball Luxation: A Case Report

Unusual Case of Unilateral Neonatal Eyeball Luxation: A Case Report

Metastatic versus metachronous adenoid cystic carcinoma in the lacrimal gland fossa: a case report

Outcomes and risk factors of surgical management of thyroid eye disease–related diplopia

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