Abstract
Objective
This study aimed to evaluate the risk factors of postoperative severe vision impairment (PSVI) for a primary orbital tumour in the muscle cone.
Methods
A retrospective analysis of the patients who underwent orbitotomy for primary intraconal tumours at the Tianjin Medical University Eye Hospital from January 2010 to December 2015.
Results
A total of 165 cases of orbitotomy for primary orbital tumours in the muscle cone were included in the study. Postoperatively, 12 cases with vision acuity ≤20/400 or ≥4 rows of vision decline and without any corrected effect were analysed as PSVI, including no light perception (NLP) for 3 cases. The multivariate logistic regression indicated that the tumour in orbital apex (P = 0.048, OR = 4.912, 95% CI: 1.011–23.866), severe optic nerve displacement (P = 0.030, OR = 6.007, 95% CI: 1.184–30.473) and intraoperative tight adhesion (P = 0.003, OR = 12.031, 95% CI: 2.282–63.441) were the independent risk factors for PSVI.
Conclusions
The incidence of PSVI for the intraconal tumour was 7.3%, and the incidence of NLP was 1.8%. The tumour in orbital apex, severe optic nerve displacement and intraoperative tight adhesion were independent risk factors for PSVI.
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Acknowledgements
We would like to thank Professor Guoxiang Song and Dr. Song Wang for their advice, as well as Wanchen Yang, M.S. for the data analysis for this manuscript.
Funding
This study was supported by the Tianjin Clinical Key Discipline Project, grant number: TJLCZDXKQ020 and Tianjin Medical University Eye Institute Clinical Research Fund, grant number: 16YKYJS001. The funders had the opportunity to review the final version of the manuscript to address any factual inaccuracies or request the revision of information deemed to be proprietary or confidential and ensure that study support was disclosed.
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Jian, T., Sun, F., Wu, T. et al. Postoperative severe visual impairment: surgical outcome of 165 patients with orbital tumours in the muscle cone. Eye 35, 2535–2542 (2021). https://doi.org/10.1038/s41433-020-01270-7
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DOI: https://doi.org/10.1038/s41433-020-01270-7
