Journal of Epidemiology and Global Health

Volume 9, Issue 1, March 2019, Pages 3 - 10

Demographics of Pediatric Orbital Lesions: A Tertiary Eye Center Experience in Saudi Arabia

Authors
Hind Manaa Alkatan1, 2, 3, *, Faisal Al Marek4, Sahar Elkhamary5,
1Department of Ophthalmology, College of Medicine, King Saud University, PO Box 18097, Riyadh, Postal code 11415, Saudi Arabia
2Department of Pathology, College of Medicine, King Saud University, Riyadh, Saudi Arabia
3Department of Pathology and Laboratory Medicine, King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia
4Department of Ophthalmology, Al-Imam Muhammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
5Department of Diagnostic Radiology, Mansoura Faculty Of Medicine, Egypt

Present address: Department of Diagnostic Radiology, Mansoura Faculty of Medicine, Egypt.

*Corresponding author. Emails: hindkatan@yahoo.com; hkatan@ksu.edu.sa
Corresponding Author
Hind Manaa Alkatan
Received 12 March 2016, Accepted 7 November 2017, Available Online 27 March 2019.
DOI
10.2991/jegh.k.181224.001How to use a DOI?
Keywords
Cyst; neoplasm; orbit; pediatric; vascular
Abstract

Orbital lesions vary in their classification, incidence, and presentation depending on the age and geographic distribution. Such lesions in the pediatric age group have been studied extensively because of the possibility of faster progression of orbital involvement and the higher risk of morbidity in this age group in which vision is still developing. In Saudi Arabia, orbital lesions were studied over a 6-year period in the late 1980s, when retinoblastoma cases used to present late with orbital involvement. In this study, we revisited the same topic 20 years later aiming to find out the most recent prevalence of orbital lesions in a similar population of patients over a longer period (14 years) in the same eye center, and compare the current results to other reports worldwide. A total of 107 lesions from 106 patients were identified by tissue diagnosis, of which more than half of the lesions were benign cystic (being the most common), vasculogenic, and inflammatory in 63% [95% confidence interval (CI, 53.3–72.0)] of all biopsied lesions. Neoplasms accounted for 37% [95% CI (28.0–45.8)] with rhabdomyosarcoma being the most common, accounting for about one third of neoplasms, and no orbital cases of retinoblastoma were found. Our results demonstrated different distribution of orbital lesions in recent years reflecting the indirect effect of the improved health awareness and medical care in Saudi Arabia. This baseline demographic study is expected to be helpful for further clinical and prognostic studies with emphasis on pediatric orbital malignant lesions, their clinical presentation, management, and prognosis.

Copyright
© 2019 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
9 - 1
Pages
3 - 10
Publication Date
2019/03/27
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.2991/jegh.k.181224.001How to use a DOI?
Copyright
© 2019 Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - JOUR
AU  - Hind Manaa Alkatan
AU  - Faisal Al Marek
AU  - Sahar Elkhamary
PY  - 2019
DA  - 2019/03/27
TI  - Demographics of Pediatric Orbital Lesions: A Tertiary Eye Center Experience in Saudi Arabia
JO  - Journal of Epidemiology and Global Health
SP  - 3
EP  - 10
VL  - 9
IS  - 1
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.181224.001
DO  - 10.2991/jegh.k.181224.001
ID  - Alkatan2019
ER  -