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  • Title: Hypoglobus due to tumours in the superior orbital region.
    Author: Hediger A, Landau K, Chaloupka K.
    Journal: Klin Monbl Augenheilkd; 2008 May; 225(5):427-9. PubMed ID: 18454387.
    Abstract:
    BACKGROUND: Tumours in the superior orbital region can cause hypoglobus. We compare the pre- and postoperative globe position in two patients with different tumour types. HISTORY AND SIGNS: A 29-year-old man and a 58-year-old woman presented with pronounced hypoglobus. In both patients time-scale and importance of the lesion were comparable. Imaging suggested a pleomorphic adenoma in the younger patient, whereas the female patient was radiologically diagnosed with a hemangioma. THERAPY AND OUTCOME: Both radiological diagnoses could be histologically proven. Both lesions were excised in toto. The adenoma patient showed a full recovery of the preoperatively reduced vision. However, the hypoglobus persisted even after ten months. The hemangioma patient had an immediate full recovery of her hypoglobus. CONCLUSION: The histological type of a tumor in the superior orbit is of importance regarding the degree of reversibility of the accompanying hypoglobus.
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