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A Journal on Ophthalmology
Minerva Oftalmologica 2004 March;46(1):105-10
language: English, Italian
Orbital pathology centers: geographical distribution and perspectives
Uccello G., Strianese D., Tanfa F., Bonavolontà G.
The aim was to determine the incidence of orbital diseases and if cases have increased during the last 20 years. This to understand if the know-how developed in this field is sufficient to justify the existence of referral centers. The number of deaths from orbital tumors and the number of cases of blindness due to orbital masses is also reported. Retrospective analysis of a large series of orbital cases collected over 26 years in a single orbital center. In this period about 4000 new orbital cases were observed coming from a geographic area of about 20000000 inhabitants (0.02 incidence). Some neoplasms have increased in number in the last 25 years, for example orbital lymphomas with about 50% increased incidence. The overall mortality due to orbital neoplasias is 9% and visual impairment 7%.
The number of patients examined is quite sufficient to conclude that orbital oncology has an important social impact in terms of risks for life and for sight. In order to improve knowledge and management of such lesions, we must aim to have a referral center every 20 million people