Orbital Tumors

The orbit (eye socket) can harbor a variety of benign and malignant growths. Prompt evaluation, advanced imaging, and expert surgical treatment are essential to preserve vision and overall health.

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Symptoms of Orbital Tumors

Orbital tumors can present gradually, making them easy to overlook. Any unexplained change in eye position, vision, or the appearance of the eye area should be evaluated by an oculoplastic specialist.

Proptosis (bulging or displacement of the eyeball)
Progressive vision loss or double vision
Swelling or fullness in the eyelid or orbit
Pain with eye movement
Restricted eye movement in any direction
Palpable mass behind the eye or eyelid

Diagnosis

Orbital tumor evaluation includes a full ophthalmic exam, detailed history, and advanced imaging (CT or MRI of the orbit). In many cases, a biopsy is needed to confirm the diagnosis before treatment is planned.

Dr. Shepler works with oncologists, radiologists, and neurosurgeons when complex cases require a multidisciplinary approach.

Common Orbital Tumor Types

Benign

Cavernous Hemangioma

The most common benign orbital tumor in adults. Typically slow-growing and well-encapsulated — surgical removal is curative when symptomatic.

Benign

Dermoid Cyst

A congenital cyst often found near the orbital rim, usually presenting in childhood. Requires surgical excision to prevent rupture and inflammation.

Variable

Lymphoma

Orbital lymphoma typically presents with progressive proptosis. Biopsy and staging are essential — treatment may involve radiation, chemotherapy, or a combination.

Variable

Inflammatory Pseudotumor

A benign but painful orbital inflammation that mimics a tumor. Typically responds to corticosteroids, though biopsy may be required to rule out malignancy.

Malignant

Rhabdomyosarcoma

The most common primary orbital malignancy in children. Requires urgent evaluation and treatment — early diagnosis is critical for survival.

Malignant

Metastatic Tumors

Breast, lung, and prostate cancers can metastasize to the orbit. Orbital metastasis may be the first sign of a systemic malignancy in some patients.

Schedule an Orbital Evaluation

Any unexplained changes in eye position or vision deserve prompt expert evaluation. Dr. Shepler provides comprehensive orbital tumor assessment and surgical treatment.

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