Surgical Management of Uniocular Proptosis

Fifteen patients (five males and 10 females age range, 8- 67years) with uniocular proptosis due to primary intracranial tumors were included in our study, we present our surgical experience in the management of these tumors as per their anatomical location within the orbit, utilizing the lateral microsurgical orbital approach and the transcranial (frontoorbital route). Amongst the 15 primary orbital tumors in this series eight cases were operated upon by lateral orbitotomy while, seven masses were approached by fronto-orbital transcranial approach. Complete gross total removal was achieved in 80% of the patients while subtotal resection and/or biopsy was achieved in three cases those patients had remission of proptosis in due course of time. Complications were seen in five patients and included lateral gaze palsy, worsening of vision postoperative enophthalmos.