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October 1990

Diagnosis and Management of Orbital Tumors

Author Affiliations

Hershey, Pa

Arch Ophthalmol. 1990;108(10):1392. doi:10.1001/archopht.1990.01070120040019

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


"Orbital pathology represents the no-person's land of ophthalmology." For those who would agree with this statement and who have been lost in an area filled with confusing terminology, Dr Shields provides a road map and a sense of order. From his preface onward, the author provides a clear and concise approach to orbital lesions.

The book is divided into three sections: "Basic Considerations," "Primary Tumors," and "Metastatic and Secondary Orbital Tumors." Each section fulfills its responsibilities admirably. "Basic Considerations" leads the reader through orbital anatomy, a discussion of proptosis, and the basic principles of clinical evaluation, laboratory diagnosis, and treatment of orbital lesions. Inflammatory lesions that may simulate true neoplasms are also discussed.

"... the author's vast clinical experience permits him to speak authoritatively..."

The remaining two sections discuss specific neoplasms. The lesions are considered from the perspectives of definitions and incidence, clinical features, diagnostic approaches, histopathology and pathogenesis, management, and

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