What are eyelid and orbital tumours?
They are tumours that occur around the eyelid or in the orbit (the cavity where the eyeball is located).
Eyelid tumours are very common; they are mostly benign and can easily be treated without leaving a visible scar. A variety of malignant tumours also exist, which can affect the periocular region (around the eye).
Orbital tumours are rare. The majority are benign and develop slowly. Some malignant tumours can, however, appear suddenly and grow rapidly. In these cases, patients should visit an ophthalmologist as a matter of urgency, as immediate treatment may be required.
What causes them?
Some eyelid tumours are related to exposure to the sun and usually occur in people over the age of 40. Fair skin is a major risk factor. In the case of orbital tumours, many of them are congenital in origin.
How can they be prevented?
Preventative measures can only be taken for eyelid tumours, such as ensuring protection from the sun, especially for people with fair skin.
In other cases, it is difficult to take preventative action, but early diagnosis and treatment is important. In the most serious cases, early detection can be crucial to save the eye, vision and even the patient’s life.
People with nodules, warts, ulcerations or other irregularities in the eyelid area should have these lesions checked periodically.
If it changes shape, colour, consistency (bleeding, ulceration), clinical conditions (itching) or size, the patient should visit the ophthalmologist to have the lesion removed and examined for identification.
Eyelid tumours are very visible and often appear in the form of a nodule or ulcer. Patients sometimes play down the importance of small lumps, warts or “bumps”, which may indicate the existence of a tumour.
In the case of orbital tumours, the patient may experience proptosis or exophthalmos (anterior displacement of the eyeball), pain, changes in ocular mobility, displacement of the eyeball or loss of vision caused by compression of the optic nerve by the tumour.
Malignant tumours can appear suddenly and grow rapidly without any previous symptoms.
Treatment consists of removing the tumour through minimum incision surgery and, depending on the case, the application of chemotherapy or radiotherapy in coordination with an oncologist.
Eyelid tumours can lead to the removal of a significant part of the eyelid. That is why the oculoplastic surgeon has to apply reconstruction techniques to restore the eyelid’s appearance and function afterwards.
Malignant lesions can return to the same place or nearby, so it is advisable for patients to undergo periodic checks after surgery.
Eyelid tumours can be confused with styes, small spots or red lumps that appear on the edge of the eyelid (on the inside and outside of the eyelid).
The main difference is that styes are more acute –they appear and disappear in a few days and are intensely bothersome and painful–, whereas eyelid tumours are more silent. In other words, they have a slower evolution and often grow gradually, in most cases causing no pain whatsoever.
IMO Institute of Ocular Microsurgery
GPS navigator coordinates:
41º 24’ 38” N – 02º 07’ 29” E
Exit 7 of the Ronda de Dalt (mountain side). The clinic has a car park with more than 200 parking spaces.
Autobus H2: Rotonda de Bellesguard, parada 1540
Autobus 196: Josep Maria Lladó-Bellesguard, parada 3191
Autobuses H2, 123, 196: Ronda de Dalt – Bellesguard, parada 0071