Tumors within the orbit may be rare, but they require expert diagnosis and surgical care. Whether benign or malignant, timely treatment helps preserve vision, comfort, and eye alignment.
Orbital tumors can impact vision, eye movement, or facial symmetry, sometimes without causing pain. Dr. Nina Boal is a board-certified oculofacial plastic surgeon and ophthalmologist with advanced expertise in orbital tumor diagnosis, biopsy, removal and treatment. Patients come to her for surgical precision and a thoughtful, individualized approach to care.
Using state-of-the-art imaging and minimally invasive techniques whenever possible, Dr. Boal provides safe, effective solutions for complex orbital conditions.
ABOUT ORBITAL TUMORS
An orbital tumor refers to any abnormal growth within the eye socket, whether it arises from muscle, nerve, glandular tissue, or surrounding structures. These tumors may be benign or malignant and can occur at any age. Symptoms may include the following:
- Bulging or displacement of the eye
- Double vision or restricted movement
- Pain or pressure around the eye
- Vision changes
- Eyelid swelling or asymmetry
How orbital tumors are treated
Treatment depends on the type, size, and location of the tumor, as well as the patient’s symptoms. Dr. Boal begins with high-resolution imaging (MRI or CT) to assess the tumor’s features. Observation may be recommended for stable and benign lesions, but symptomatic or growing tumors often require surgical removal or biopsy.
Dr. Boal uses minimally invasive techniques when possible, prioritizing the protection of vision and surrounding structures. In some cases, interdisciplinary care with ENT or Neurosurgery is coordinated for optimal outcomes. Her practice emphasizes a comprehensive and supportive experience, where patients take priority.
Orbital Tumor Removal and Biopsy Techniques
- Incisional Biopsy – Sample taken for diagnosis
- Excisional Removal – Entire tumor removed
- Lateral Orbitotomy – Access to deep or lateral orbital tumors
- Transconjunctival Approach – Hidden incision inside the eyelid
- Endoscopic-Assisted Removal – In select cases involving the sinus or skull base
TYPES OF ORBITAL TUMORS TREATED
- Vascular tumors (capillary hemangiomas, orbital veno-lymphatic malformations, cavernous venous malformations)
- Lacrimal gland tumors (pleomorphic adenoma, adenoid cystic carcinoma)
- Dermoid cysts
- Orbital lymphoma
- Idiopathic orbital inflammation
- Metastatic tumors (breast, lung, prostate, melanoma)
- Skin cancers with orbital invasion (basal cell carcinoma, squamous cell carcinoma, sebaceous cell carcinoma)
- Schwannoma
FAQ
Are all orbital tumors cancerous?
No. Many are benign, including cysts, vascular growths, and inflammatory masses. However, evaluation is needed to determine the type and behavior.
Is a biopsy always needed?
Not always. Imaging may be sufficient, but biopsy confirms uncertain diagnoses or rules out malignancy.
Is orbital tumor removal risky?
Like all surgeries near the eye, risks exist, but choosing a highly trained surgeon such as Dr. Boal reduces those risks significantly.
Will I have a scar?
Dr. Boal uses hidden or well-placed incisions, often in the eyelid crease or inner surface of the eyelid, to minimize visible scarring.
Is recovery painful?
Most patients experience mild discomfort or pressure, which is manageable with medication and resolves quickly.
Will my eye appearance improve after surgery?
Sometimes—tumor removal often restores symmetry, reduces bulging, and improves eye alignment.
Is orbital tumor surgery covered by insurance?
If the tumor is symptomatic or suspected to be malignant, insurance may cover the procedure.
How soon will I know the diagnosis?
If a biopsy is performed, results typically return in 7–10 days.
