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An Analysis

Thomas R. Friberg, MD; Arthur S. Grove, Jr, MD

Arch Ophthalmol. 1983;101(4):598-603.

Abstract
• Twenty patients with unilateral exophthalmos secondary to orbital tumors underwent fundus photography; 16 underwent fluorescein angiography. Choroidal folds were found in 15 eyes. The location of each tumor with respect to the globe was determined by computed tomography. In addition, most patients underwent B-scan ultrasonography and surgical exploratory procedures. Choroidal folds were more common in patients with greater amounts of exophthalmos and with anteriorly located tumors. Moreover, the pattern of choroidal folds generally reflected the location of the tumor within the orbit. Comparison with the uninvolved fellow eyes showed that preoperative refractive errors were usually shifted toward hyperopia with intraconal tumors, whereas extraconal tumors were typically associated with higher astigmatic errors on the involved side.

Author Affiliations
From the Departments of Ophthalmology, Medical College of Georgia, Augusta (Dr Friberg), and Massachusetts Eye and Ear Infirmary, Boston (Dr Grove).

Footnotes
Accepted for publication March 24, 1982.

Reprint requests to Department of Ophthalmology, Medical College of Georgia, Augusta, GA 30912 (Dr Friberg).

Frank Lazenby and Jennifer Hamlin provided photographic and technical assistance. Russ Baltezar drew Figs 5 and 6.

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