Demographics of Pediatric Orbital Lesions: A Tertiary Eye Center Experience in Saudi Arabia

Hind Manaa Alkatan; Faisal Al Marek; Sahar Elkhamary

doi:10.2991/jegh.k.181224.001

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Volume 9, Issue 1, March 2019, Pages 3 - 10

Demographics of Pediatric Orbital Lesions: A Tertiary Eye Center Experience in Saudi Arabia

Authors

Hind Manaa Alkatan¹^{, 2}^{, 3}^{, *}, Faisal Al Marek⁴, Sahar Elkhamary⁵^{, †}

¹Department of Ophthalmology, College of Medicine, King Saud University, PO Box 18097, Riyadh, Postal code 11415, Saudi Arabia

²Department of Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia

³Department of Pathology and Laboratory Medicine, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia

⁴Department of Ophthalmology, Al-Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia

⁵Department of Diagnostic Radiology, Mansoura Faculty Of Medicine, Egypt

^†

Present address: Department of Diagnostic Radiology, Mansoura Faculty of Medicine, Egypt.

^*Corresponding author. Emails: hindkatan@yahoo.com; hkatan@ksu.edu.sa

Corresponding Author

Hind Manaa Alkatan

Received 12 March 2016, Accepted 7 November 2017, Available Online 27 March 2019.

DOI: 10.2991/jegh.k.181224.001 How to use a DOI?
Keywords: Cyst; neoplasm; orbit; pediatric; vascular
Abstract: Orbital lesions vary in their classification, incidence, and presentation depending on the age and geographic distribution. Such lesions in the pediatric age group have been studied extensively because of the possibility of faster progression of orbital involvement and the higher risk of morbidity in this age group in which vision is still developing. In Saudi Arabia, orbital lesions were studied over a 6-year period in the late 1980s, when retinoblastoma cases used to present late with orbital involvement. In this study, we revisited the same topic 20 years later aiming to find out the most recent prevalence of orbital lesions in a similar population of patients over a longer period (14 years) in the same eye center, and compare the current results to other reports worldwide. A total of 107 lesions from 106 patients were identified by tissue diagnosis, of which more than half of the lesions were benign cystic (being the most common), vasculogenic, and inflammatory in 63% [95% confidence interval (CI, 53.3–72.0)] of all biopsied lesions. Neoplasms accounted for 37% [95% CI (28.0–45.8)] with rhabdomyosarcoma being the most common, accounting for about one third of neoplasms, and no orbital cases of retinoblastoma were found. Our results demonstrated different distribution of orbital lesions in recent years reflecting the indirect effect of the improved health awareness and medical care in Saudi Arabia. This baseline demographic study is expected to be helpful for further clinical and prognostic studies with emphasis on pediatric orbital malignant lesions, their clinical presentation, management, and prognosis.
Open Access: This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal: Journal of Epidemiology and Global Health
Volume-Issue: 9 - 1
Pages: 3 - 10
Publication Date: 2019/03/27
ISSN (Online): 2210-6014
ISSN (Print): 2210-6006
DOI: 10.2991/jegh.k.181224.001 How to use a DOI?
Open Access: This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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ris enw bib

TY  - JOUR
AU  - Hind Manaa Alkatan
AU  - Faisal Al Marek
AU  - Sahar Elkhamary
PY  - 2019
DA  - 2019/03/27
TI  - Demographics of Pediatric Orbital Lesions: A Tertiary Eye Center Experience in Saudi Arabia
JO  - Journal of Epidemiology and Global Health
SP  - 3
EP  - 10
VL  - 9
IS  - 1
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.181224.001
DO  - 10.2991/jegh.k.181224.001
ID  - Alkatan2019
ER  -

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