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November 1983

Orbital FistulaCauses and Treatment of 20 Cases

Author Affiliations

From the Eye Research Institute of Retina Foundation, Boston (Drs Wang and Ni); the Departments of Ophthalmic Pathology (Drs Wang and Ni) and Ophthalmology (Dr Sebag), Harvard Medical School and Massachusetts Eye and Ear Infirmary, Boston; and the Eye, Ear, Nose and Throat Hospital of the Shanghai First Medical College (Dr Li).

Arch Ophthalmol. 1983;101(11):1721-1723. doi:10.1001/archopht.1983.01040020723011

• A retrospective analysis of 20 cases of orbital fistula in Shanghai showed the causes to be trauma with foreign-body retention, osteomyelitis, mucocele, and dermoid cyst. Half the patients were children younger than 10 years old. Cicatricial ectropion, ptosis, and extraocular motility disturbance constituted the common clinical findings. Treatment according to the various causes included surgical removal of the foreign body, oral administration of antibiotics combined with local irrigation, radical extraction of all the epithelium lining the fistula, and excision of the fistula.