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Pediatric orbital tumors
Pediatric Ophthalmology
Key Points
- •Unilateral proptosis in a child is malignant until proven otherwise - rhabdomyosarcoma, neuroblastoma, and leukaemia must be excluded urgently
- •Capillary haemangioma is the most common benign orbital tumour; oral propranolol has revolutionised treatment; manages amblyopia concurrently
- •Rhabdomyosarcoma is the most common primary malignant orbital tumour in children - rapidly progressive proptosis over days to weeks; treated with VAC chemotherapy + radiation (5-year survival >90%)
- •Raccoon eyes (bilateral periorbital ecchymoses) in a child suggest metastatic neuroblastoma - check urine VMA/HVA
- •Optic nerve glioma bilateral in a child is virtually diagnostic of NF1; many NF1-associated gliomas remain stable and can be observed
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Keep reading Pediatric orbital tumors
17 more sections are included with the Clinical plan.
- Definition
- Epidemiology
- Aetiology and causes
- Pathogenesis
- Classification
- Risk factors and associations