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A 10-year review of orbital biopsy: the Newcastle Eye Centre Study

Lookup NU author(s): Dr Alison Dickinson, Christopher Neoh

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Abstract

Purpose To review the histopathological diagnoses, visual outcome, and complication rate of orbital biopsy in a UK tertiary referral centre.Methods This was a retrospective, clinicalpathological, interventional, consecutive case series. All orbital biopsies performed between July 2004 and June 2014 in Newcastle Eye Centre (Newcastle upon Tyne, UK) were included in this study. All relevant data collected from the local electronic database and medical records were analysed.Results A total of 166 orbital biopsies were identified during the study period: 86 patients (53.1%) were female and the mean age was 53.7 +/- 19.7 years. Of all the cases, orbital biopsies were performed unilaterally in 158 (97.5%) patients and bilaterally in 4 (2.5%) patients. The mean follow-up period was 2.2 +/- 2.3 years. The two most common histopathological diagnoses were non-specific inflammatory disease (62, 38.3%) and lymphoproliferative disease (40, 24.7%). None of the patients experienced >= 2-Snellen line visual loss. There were 7 (4.2%) postoperative complications noted: 1 (0.6%) orbital haemorrhage with no loss of vision, 4 (2.4%) diplopia, 1 (0.6%) short-term symblepharon, and 1 (0.6%) conjunctival granuloma. Postoperative diplopia was associated with lateral orbitotomy (P = 0.044) and excisional biopsy (P = 0.015).Conclusions Orbital biopsy serves as a safe diagnostic tool in managing orbital diseases. Patient should be made aware of the risk of postoperative diplopia. Our data provides useful guidance to clinicians when counselling patients for orbital biopsy.


Publication metadata

Author(s): Ting DSJ, Perez-Lopez M, Chew NJ, Clarke L, Dickinson AJ, Neoh C

Publication type: Article

Publication status: Published

Journal: Eye

Year: 2015

Volume: 29

Issue: 9

Pages: 1162-1166

Print publication date: 01/09/2015

Online publication date: 05/06/2015

Acceptance date: 18/04/2015

ISSN (print): 0950-222X

ISSN (electronic): 1476-5454

Publisher: Nature Publishing Group

URL: http://dx.doi.org/10.1038/eye.2015.95

DOI: 10.1038/eye.2015.95


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