|Year : 1984 | Volume
| Issue : 1 | Page : 49-50
CC Mohan Reddy, M Sikinder Hayath, I Dinakar, V Prabhakar
Department of Pathology and Neuro Surgery Kurnool Medical College, Kurnool, India
C C Mohan Reddy
Kurnool Medical College, Kurnool
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Mohan Reddy C C, Hayath M S, Dinakar I, Prabhakar V. Orbital glioma. Indian J Ophthalmol 1984;32:49-50
Gliomas are tumours of the neuroglial tissue and originate only from neuroglia cells. Because of its rare incidence a case of orbital glioma not arising from optic nerve presenting as exophthalmos of left eye occurring in a female of 25 years is being reported.
| Case report|| |
Y.M. a female of 25 years was admitted with the complaint of pain, progressive fall of vision and protrusion of the left eye ball of 3 months duration [Figure - 1]. No history of fits, fever or injury to head.
On examination of the left eye, there 'is gross axial proptosis on the left side. All movements of eye ball except adduction are limited. No visible veins over the eyelids. The proptosis is non pulsatile and irreducible. The orbital margins are normal. No mass is felt between the globe and the orbit. The left pupil is dilated and not reacting to light. No perception of light. The preauricular and sub mandibular lymph glands were not enlarged on left side. Right eye was normal. Systemic examination was normal.
Hemogram, urine, VDRL test were normal. X-rays of the skull showed enlargement of orbit on the left Haziness of bony land marks. No evidence of raised intra cranial tension Sella normal. Optic foramina normal and no enlargement. X-rays of the chest and paranasal sinuses showed no abnormality. Left carotid angiogram normal. Left orbital venogram showed an in orbital space occupying lesion behind the globe.
A left frontal craniotomy and excision of orbital roof (left) a diffuse gelatinous greyish white, tumor was found behind the globe which was removed piecemeal and remaining part was sucked out. After an uneventful post operative period she is receiving a course of radiation to the left orbit
The patient was not willing for removal of the left eye ball and exenteration of the left orbital contents which was suggested in view of the histopathological report.
Histopathological reports: Shows astrocytic glioma [Figure - 2].
| Discussion|| |
Primary tumors of the orbit comprise a large group of tumors. The symptoms and signs are more general rather than specific for a particular tumor, so in most of the tumors treatment and prognosis depend largely on the histopathological report. In most of the cases patients come to the ophthalmologist with exophthalmos and its complications. The tumor mass may press inside the orbit on the optic. nerve and may produce papilloedema ophthalmus and its complications. The tumor mass may press inside the orbit on the optic nerve and may produce papilloedema ophthalmoplegias and optic atrophy. In the present case there was proptosis and optic atrophy of three months duration. Orbital gliomas grow with extraordinary rapidity and are locally malignant and may metastasized. Exenteration of the orbit is the only effective treatment but despite this and radiational therapy recurrences and death from metastasis may occur. In the present case the tumor was confined only to the orbit and no evidence of metastasis could be detected radiologically. The patient was not willing for removal of the eye ball and exenteration of the orbital contents and she was advised for a course of radiation to the left orbit. The astrocytic gliomas constitute about three quarters of all gliomas.
| Summary|| |
A rare case of orbital astrocytic glioma (left side) presenting as exophthalmos in a female of 25 years has been reported.
| References|| |
Das, S.P., 1963, J. All. Ind. Opthalmol Soc. 11: 38.
Duke Elder,S, 1974, System of ophthelmology Vol. XIII/119, Henry Kimpton, London.
Howard, 1965, Amer, J. Ophthalmol. Soc. 59:934.
[Figure - 1], [Figure - 2]