Skip to main content
SpringerLink
Log in

Radiation-Related Orbital Injury: Clinical Manifestations and Considerations for Surgical Repair

  • Chapter
Radiotherapy of Intraocular and Orbital Tumors

Part of the book series: Medical Radiology ((Med Radiol Radiat Oncol))

  • 285 Accesses

Abstract

Deformity and contracture of ophthalmic soft tissues and the orbital bones which compose the orbital complex may be the result of mechanical, chemical, thermal, and/or radiation injury. While reconstruction is most commonly necessary following traumatic orbital injuries, iatrogenically induced deformities account for a large number of cases as well. Iatrogenic causes range from unavoidable surgically induced deformity resulting from excision of a primary orbital neoplasm or ocular tumor with orbital extension, to contracture resulting from secondary effects of radiation. Radiation-related injury may develop following radiation therapy directed to the globe, orbit, or nasopharynx. Secondary considerations which may exacerbate radiation-induced injury include poor fitting or excessively heavy prostheses in anophthalmic (no globe) patients with orbital volume deficiency, and normal aging changes which may lead to or contribute to socket deformity.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Anderson RL, Dixon RS (1979) Aponeurotic ptosis surgery. Arch Ophthalmol 97:1123–1128

    Article  PubMed  CAS  Google Scholar 

  • Beard C (1966) The surgical treatment of blepharoptosis: a quantitative approach. Trans Am Ophthalmol Soc 64:401–487

    PubMed  CAS  Google Scholar 

  • Beard C (1976) Ptosis, 2nd edn. Mosby, St. Louis

    Google Scholar 

  • Berke RM (1964) Blepharoptosis. In: Hughes WL (ed) Ophthalmic Plastic Surgery, 2nd edn. American Academy of Ophthalmology, Rochester, Minnesota

    Google Scholar 

  • Duke-Elder S (1972) Non-mechanical injuries. In: DukeElder S (ed) System of ophthalmology: injuries. Henry Kimpton, London, 19, 2:934–1004

    Google Scholar 

  • Haik BG, Jereb B, Abramson DH, Ellsworth RM (1983) Ophthalmic radiotherapy. In: Iliff NT (ed) Complications in ophthalmic surgery. Churchill Livingstone, New York, pp 449–485

    Google Scholar 

  • Haye C, Jammett H, Dolfus MA (1965) L’Oeil et les radiations ionisantes. Masson, Paris, vol 1, 2

    Google Scholar 

  • Lemp MA (1989) Diagnosis and treatment of tear deficiencies. In Duane TB (ed) Clinical ophthalmology. JB Lippincott, New York, pp 1–9

    Google Scholar 

  • Lemp MA, Hamill J (1973) Factors affecting tear film breakup in normals. Arch Ophthalmol 89:103

    Article  PubMed  CAS  Google Scholar 

  • Merriam GR Jr, Szechter A, Focht EF (1972) The effects of ionizing radiations on the eye. In: Vaeth JM, Darger, Basel G (eds) Frontiers of radiation therapy and oncology

    Google Scholar 

  • Reese AB (1976) Tumors of the eye, 3rd edn. Harper & Row, Hagerstown, Md

    Google Scholar 

  • Schmidt T, Kohler W (1994) Fornix reconstruction in ocular pemphigoid with Gore-Tex surgical membrane. Ophthalmologe 94:321–3

    Article  Google Scholar 

  • Smith B, McCord CD, Baylis HI (1969) Surgical treatment of blepharoptosis. Am J Ophthalmol 68:92–99

    PubMed  CAS  Google Scholar 

  • Terino EO (2001) Alloderm acellular dermal graft: applications in aesthetic soft-tissue augmentation. Clin Plast Surg 28:83–99

    PubMed  CAS  Google Scholar 

  • Vantley GT, Leopold IH, Greg TA (1977) Interpretation of tear film breakup. Arch Ophthalmol 95:445

    Article  Google Scholar 

  • Walden JL, Garcia H, Hawkins H, Crouchet JR, Traber L, Gore DC (2000) Both dermal matrix and epidermis contribute to an inhibition of wound contraction. Ann Plast Surg 45:162–9

    Article  PubMed  CAS  Google Scholar 

  • Wainwright D, Madden M, Luterman A et al. (1996) Clinical evaluation of an acelullar allograft dermal matrix in full-thickness burns. J Burn Care Rehabil 17:124–136

    Article  PubMed  CAS  Google Scholar 

  • Walker RR, McCord CD, Tanenbaum M (1987) Evaluation and management of the ptosis Patient. In: McCord CD, Tannenbaum H (eds) Oculoplastic surgery, 2nd edn. Raven New York, pp 325–376

    Google Scholar 

  • Weiss RA, McCord CD, Ellsworth RM (1990) Reconstruction of the anophthalmic socket: lower eyelid malposition and canthal tendon laxity. In: Bosniak (ed) Advances in ophthalmic plastic and reconstructive surgery. Pergamon, New York, pp 192–208

    Google Scholar 

  • Weiss RA, McCord CD, Ellsworth RM (1991) Orbital fractures. In: Shingleton (ed) Ophthalmic trauma. CV Mosby, St. Louis, pp 295–314

    Google Scholar 

  • Wilkins RB, Kulwin DR, McCord CD, Tanenbaum M (1987) Techniques in oculoplastic surgery. In: McCord CD, Tannenbaum H (eds) Oculoplastic surgery, 2nd edn. Raven New York, pp 325–376

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Departments of Ophthalmology and Visual Science, and Neurosurgery, University Illinois, Chicago, USA

    R. A. Weiss MD (Clinical Associate Professor, Director)

  2. Chicago Eye Institute and Advocate Illinois Masonic Medical Health Systems, 3982 North Milwaukee Avenue, Chicago, IL, 60641, USA

    R. A. Weiss MD (Clinical Associate Professor, Director)

  3. Division of Oculoplastics Eye Institute, Medical College of Wisconsin, 925 N. 87th Street, Milwaukee, Wisconsin, 53226, USA

    J. L. Iwata Pharm.D, DO (Clinical Instructor of Ophthalmology)

  4. Medical College of Wisconsin, Division of Oculoplastics, Eye Institute, University of Wisconsin, 925 N. 87th Street, Milwaukee, Wisconsin, 53226, USA

    R. S. Gonnering MD (Clinical Professor of Ophthalmology)

Authors
  1. R. A. Weiss MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. J. L. Iwata Pharm.D, DO
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. S. Gonnering MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Radiation Oncology, State University of New York Upstate Medical University, 750 East Adams Street, Syracuse, NY, 13210, USA

    Robert H. Sagerman MD, FACR (Professor) (Professor)

  2. Department of Radiotherapy and Radiooncology, University Hospital Hamburg-Eppendorf, Martinistrasse 52, 20246, Hamburg, Germany

    Winfried E. Alberti MD (Professor) (Professor)

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Weiss, R.A., Iwata, J.L., Gonnering, R.S. (2003). Radiation-Related Orbital Injury: Clinical Manifestations and Considerations for Surgical Repair. In: Sagerman, R.H., Alberti, W.E. (eds) Radiotherapy of Intraocular and Orbital Tumors. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-55910-5_20

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-55910-5_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-63147-4

  • Online ISBN: 978-3-642-55910-5

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation