|Year : 1979 | Volume
| Issue : 1 | Page : 25-28
Ocular and adnexal tumours
R Gogi, K Nath, Leela Ahuja, Manoj Shukla
A.M.U., Institute of Ophthalmology, J.N. Medical College, Aligarh, India
A.M.U., Institute of Ophthalmology, J.N. Medical College, Aligarh
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Gogi R, Nath K, Ahuja L, Shukla M. Ocular and adnexal tumours. Indian J Ophthalmol 1979;27:25-8
Ocular and adnexal tumours although not rare, yet there are only few institutions where a proper documented histopathological records are available. The present report consists of an analysis of 503 histop athologically proved cases examined at our centre during the past twenty five years and it will be interesting to have a glance at the incidence of such tumours.
| Observations & Comments|| |
Amongst 503 cases, orbital tumours were the commonest (183 cases) followed by lid (138 cases), conjunctiva (98 cases), eyeball (6$ cases) and limbus (16 cases) as shown in [Table - 1] Males (60.24%) were affected more as shown in [Table - 2] The maximum number of cases belonged to the first (32.80%) and second decades (17.10%). In other words almost half of the ocular and adnexal tumours occured during first twenty years of life [Table - 3].
The primary orbital tumours were common during first two decades of life and incidence decreased gradually with the advancement of life [Table - 3]. Males (58.39%) were affected more than females (41.61 %, and the commonest tumour group was the Pseudotumour (21.47%) followed by dermoids (20.80% [Table - 4]. Secondary orbital turnouts occurred exclusively in the first decade [Table - 3] . Males (55.88%) were affected more than females (44.12%). Orbital extension of retinoblastoma (76.47%) was the commonest tumour followed by leukemic deposits in the orbit (23.53%).
Lid growths were common in the sixth decade [Table - 3] and males (57.97%) were affected more than females (42.03%). Amongst 138 new growths there were 121 cases (87.68%) of tumours and 17 cases (12 32%) of various cysts [Table - 5]. A wide range of lid tumours were encountered and epithelial tumours constituted the major bulk (121 cases). Basal cell carcinoma of the lid was the commonest lid tumor and was responsible for more than 33% of total lid tumours.
Conjunctival tumours occured maximally in the second decade and males (70.41%) were affected nearly two and half times more than females (29.59%) as shown in [Table - 2][Table - 3].
The commonest tumour was implantation cysts (21 cases) as shown as in [Table - 6]
Limbal tumours were commonest in the first decade [Table - 3] . Males (56.25%) were affected more than females (43.75%), and the commonest tumour was limbal dermoid (56.25%) as shown in [Table - 7].
The commonest eyeball tumour was retinoblastoma (88.24%) [Table - 8] and was responsible for the increased incidence of eyeball tumours during the first decade of life as shown in [Table - 3]. Males (57.35%) were affected more than females (42.65%).
| Summary|| |
(l) The present work includes incidence of various ocular and adnexal tumours experienced at A.M.U. Institute of Ophthalmology over a period of twenty five years and 503 histopathologically proved cases have been included.
(2) Commonest lesion was orbital tumours (183 cases), followed by lid tumours (138 cases). conjunctival tumours (98 cases), eyeball tumours (68 cases), and limbal tumours (16 cases).
(3) These tumours were found to be more common in males (303 cases) as compared to females (200 cases).
(4) The commonest primary orbital tumour was pseudotumour and secondary orbital tumour was secondary extensions of the retinoblastoma.
(5) Basal cell carcinoma, implantation conjunctival cysts and limbal dermoid were the commonest new growths of lid, conjunctiva and limbus respectively.
(6) Retinoblastoma was the commonest eyeball tumour.
[Table - 1], [Table - 2], [Table - 3], [Table - 4], [Table - 5], [Table - 6], [Table - 7], [Table - 8]