The Surgical Approach to the Orbit

  • Xiaqun Fan
  • Renbing Jia
  • Hunter YuenEmail author


Several techniques have been used to approach orbital lesions surgically. A review of the most common and direct ones is included. Complex and large lesions will require a combination of techniques and a large experience in such procedures


: orbital incisions Transconjunctival approach Fornix approach Transcaruncular approach Vertical eyelid splitting Orbitotomy 

Suggested Readings

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    Dutton JJ. The eyelids and anterior orbit. Atlas of clinical and surgical orbital anatomy. 2nd ed. Philadelphia: Elsevier Saunders;2011.Google Scholar
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    Westfall CT, Shore JW, Nunery WR, et al. Operative Complications of the Transconjunctival Inferior Fornix Approach[J]. Ophthalmology. 1991;98(10):1525–8.CrossRefGoogle Scholar
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    Harris GJ, Perez N. Surgical sectors of the orbit: using the lowerfornix approach for large, medial intraconal tumors. Ophthal PlastReconstr Surg. 2002;18:349–54.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of OphthalmologyNinth People’s Hospital, Shanghai JiaoTong University School of MedicineShanghaiChina
  2. 2.Department of Ophthalmology & Visual SciencesThe Chinese University of Hong Kong, Hong Kong Eye HospitalHong KongChina

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