Skip to main content
Log in

The diagnostic value of computed tomography in orbital diseases

A Cooperative Study of 520 Cases

  • Originals
  • Published:
Neurosurgical Review Aims and scope Submit manuscript

Summary

Computed tomography (CT) has given us a new method for examining the orbit and its contents. The indications for the application of computed tomography in ophthalmology are considered: suspected orbital tumors, unilateral exophthalmos, pareses of the ocular muscles, traumatic lesions and malformations in the region of the orbit. The findings in 520 cases of orbital lesions examined in this study are reported and the differential diagnosis is discussed. Considerable improvement and greater accuracy in diagnosis have been achieved in the field of ophthalmology by using computed tomography. Early tumor visualization is possible without risk or discomfort to the patient.

Zusammenfassung

Die Computer-Tomographie bedeutet eine optimale Untersuchungsmethode der Orbita. Ohne Risiko und Unbequemlichkeit für den Patienten gelingt eine frühzeitige Tumordiagnose. Aus dem eigenen CT-Krankengut werden 520 Fälle mit Orbita-Läsionen vorgestellt. Diagnose und Differential-diagnose werden diskutiert. Die Indikation zu einer Orbita-Computer-Tomographie ist gegeben bei: Verdacht auf Tumor, einseitigem Exophthalmus, Augenmuskel-Lähmungen, traumatischen Veränderungen und Mißbildungen im Orbita-Bereich.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Ambrose, J. A. E.: Computerized transverse axial scanning (tomography): Part 2. Clinical application. Brit. J. Radiol.46 (1973) 1023–1047.

    PubMed  Google Scholar 

  2. Ambrose, J. A. E.: New techniques in the investigations of the orbit. Trans. orthal. Soc. U. K.95 (1975) 233.

    Google Scholar 

  3. Ambrose, J. A. E., G. A. S. Lloyd, J. E. Wright: A preliminary evaluation of fine matrix computerized axial tomography (EMI-Scan) in the diagnosis of orbital space-occupying lesions. Brit. J. Radiol.47 (1974) 747–751.

    PubMed  Google Scholar 

  4. Aronow, S., S. Kadir: In vitro evaluation of the detectability of intra-orbital foreign bodies. In: Symposium on Computer Assisted Tomography in Nontumoral Diseases of the Brain, Spinal Cord and Eye. National Institutes of Health, Bethesda, Maryland, October 11–15 (1976).

    Google Scholar 

  5. Baker, H. L., Th. P. Kearns, J. K. Campell, J. W. Henderson: Computerized transaxial tomography in neuroophthalmology. Amer. J. Ophthal.78 (1974) 285–294.

    PubMed  Google Scholar 

  6. Baleriaux-Waha, D., L. L. Mortelmans, M. G. Dupont, G. Terwinghe, L. Jeanmart: The use of coronal scans for computed tomography of the orbits. Neuroradiology14 (1977) 89–96.

    PubMed  Google Scholar 

  7. Bergström, K.: Computer tomography of the orbits. Acta radiol. (Stockh.), Suppl.346 (1975) 155–160.

    Google Scholar 

  8. Bergström, K., H. Dahlin, M. Gustafsson, O. Nylen: Eye lens doses in carotid angiography. Acta radiol. Diagn.12 (1972) 134.

    Google Scholar 

  9. Brismar, J., K. R. Davis, R. L. Dallow, G. Brismar: Unilateral endocrine exophthalmos. Diagnostic problems in association with computed tomography. Neuroradiology12 (1976) 21–24.

    PubMed  Google Scholar 

  10. Bull, J. W. D.: The changing face of neuroradiology over nearly forty years. Neuroradiology9 (1975) 111–115.

    PubMed  Google Scholar 

  11. Cabanis, E. A., U. Salvolini, A. Rodallec, F. Menichelli, U. Pasquini, P. Bonnin: Computed tomography of the optic nerve: Part 2. Size and shape modifications in papilledema. J. Comp. Assist. Tomogr.2 (1978) 150–155.

    Google Scholar 

  12. Di Chiro, G., J. R. Herdt, M. Vermess, C. R. Kollarits: Movement of optic nerves observed by sequential CT scans with different gaze positions. Presented at the International Symposium and Course on Computerized Tomography. San Juan, Puerto Rico, April 5–9 (1976).

  13. Cogan, D. G.: Tumors of the optic nerve. In: Vinken, P. J., G. W. Bruyn: Handbook of clinical neurology. North-Holland Publ. Comp., Amsterdam 1974.

    Google Scholar 

  14. Enzmann, D., S. S. Donaldson, W. H. Marshall, J. P. Kriss: Computed tomography in orbital pseudotumor (idiopatic orbital inflammation). Radiology120 (1976) 597–601.

    PubMed  Google Scholar 

  15. Enzmann, D., W. H. Marshall, A. R. Rosenthal, J. P. Kriss: Computed tomography in Graves ophthalmopathy. Radiology118 (1976) 615–620.

    PubMed  Google Scholar 

  16. Fox, A. J., G. Debrun, F. Vinuela, L. Assis, R. Coates: Intrathecal metrizamide enhancement of the optic nerve sheath. J. Com. Assist. Tomography3 (1979) 653–656.

    Google Scholar 

  17. Frisen, L., G. Schöldström, P. Svendsen: Drusen in the optic nerve head. Arch. Ophthalmol.96 (1978) 1611–1614.

    PubMed  Google Scholar 

  18. Gawler, J., M. D. Sanders, J. W. D. Bull, G. du Boulay, J. Marshall: Computer assisted tomography in orbital disease. Brit. J. Ophthal.58 (1974) 571–587.

    PubMed  Google Scholar 

  19. Gonzalez, C. F., Ch. B. Grossman, E. Palacios: Computed brain and orbital tomography. John Wiley & Sons, New York/London/Sydney/Toronto 1976.

    Google Scholar 

  20. Gyldenstedt, C., J. Lester, H. Fledelius: Computed tomography of orbital lesions. A radiological study of 144 cases. Neuroradiology13 (1977) 141–150.

    PubMed  Google Scholar 

  21. Hanaway, J., W. R. Scott, Ch. M. Strother: Atlas of the human brain and the orbit for computed tomography. Warren H. Green, Inc., St. Louis/Missouri 1977.

    Google Scholar 

  22. Hann, L. E., S. Borden, A. L. Weber: Orbital teratoma in the newborn. Pediat. Radiol.5 (1977) 172–174.

    PubMed  Google Scholar 

  23. Hilal, S. K., S. L. Trokel: Computerized tomography of the orbit using thin sections. Semin. Roentgenol.12 (1977) 137–147.

    PubMed  Google Scholar 

  24. Hollender, L., G. Lysell: Radiation doses during tomography of various parts of the head. Odont. Rev.22 (1971) 291–295.

    Google Scholar 

  25. Hounsfield, G. N.: Computerized axial scanning (tomography): Part 1. Description of system. Brit. J. Radiol.46 (1973) 1016–1022.

    PubMed  Google Scholar 

  26. Isherwood, J., J. M. Young, K. W. Bowker, G. K. Bramall: Radiation dose to the eyes of the patient during neuroradiological investigations. Neuroradiology10 (1975) 137–141.

    PubMed  Google Scholar 

  27. Kollarits, C. R., J. R. Christiansen: Computer assisted tomography for localisation of intraocular and intraorbital foreign bodies. In: Symposium on Computer Assisted Tomography in Nontumoral Diseases of the Brain, Spinal Cord and Eye. National Institute of Health, Bethesda, Maryland, October 11–15 (1976).

    Google Scholar 

  28. Lampert, V. L., J. W. Zeich, D. N. Cohen: Computed tomography of the orbits. Radiology113 (1974) 351–354.

    PubMed  Google Scholar 

  29. Leonardi, M., V. Barbina, G. Fabris, T. Penco: Sagittal computed tomography of the orbit. J. Comput. Assist. Tomogr.1 (1977) 511–512.

    PubMed  Google Scholar 

  30. Lester, J., C. Gyldenstedt: CT of retrobulbar lesions. Int. Symp. Computerized Tomography, Puerto Rico, April (1976).

    Google Scholar 

  31. Lloyd, G. A. S.: Radiology of the orbit. Saunders, London 1975.

    Google Scholar 

  32. Lloyd, G. A. S., J. A. E. Ambrose: An evaluation of CAT in the diagnosis of orbital space occupying lesions. In: Du Boulay, G., J. F. Moseley: Computerized Axial Tomography in Clinical practice. Springer, Berlin/Heidelberg/New York 1977

    Google Scholar 

  33. Lloyd, G. A. S., J. Ambrose, J. E. Wright: New techniques in the investigation of the orbit. Trans. ophthal. Soc. U. K.95 (1975) 233–236.

    Google Scholar 

  34. Manelfe, C., U. Pasquini, W. Bank: Metrizamide demonstration of the subarachnoid space surrounding the optic nerves. J. Assist. Comp. Tomogr.2 (1978) 545–547.

    Google Scholar 

  35. Michotey, P., I. F. Moseley, M. L. Aubin, A. Mouly, Ph. Farnarier, M. D. Sanders, D. Aron, D. Doyon: Apport de la tomographie axiale commandée par ordinateur en ophtalmologie. J. Neuroradiology3 (1976) 257–276.

    Google Scholar 

  36. Momose, K. J., P. F. J. New, A. S. Grove, W. Scott: The use of computed tomography in ophthalmology. Radiology115 (1975) 361–368.

    PubMed  Google Scholar 

  37. Mortelmans, L. L., D. Baleriaux-Waha, M. G. Dupont, L. J. Jeanmart, R. Potvliege: Neuroophthalmology, In: Baert, A., L. Jeanmart, A. Wackenheim: Clinical Computer Tomography. Springer, Berlin/Heidelberg/New York 1978, pp. 147–155.

    Google Scholar 

  38. Moseley, I. F., J. W. D. Bull: Computerized axial tomography, carotid angiography and orbital phlebography in the diagnosis of space-occupying lesions of the orbit. In: Salamon, G.: Advances in cerebral angiography. Springer, Berlin/Heidelberg/New York 1975 pp. 361–369.

    Google Scholar 

  39. Nemec, H. W., J. Roth: Über die Strahlenbelastung des Kopfes, insbesondere der Augenlinsen, bei der axialen Tomographie mit dem EMI-Scanner. Fortschr. Röntgenstr.126 (1976) 526–530.

    Google Scholar 

  40. New, P. F. J., W. R. Scott: Computed tomography of the brain and orbit (EMI-Scanning). Williams & Wilkins, Baltimore 1975.

    Google Scholar 

  41. Nover, A., J. Schmitt, S. Wende, A. Aulich: Computer-Tomographie in der Ophthalmologie. Klin. Mbl. Augenheilk.168 (1976) 461–467.

    PubMed  Google Scholar 

  42. Ostertag, Ch. B., R. Unsöld, F. Mundinger: Computerized tomography in neuroophthalmology. In: Lanksch, W., E. Kazner: Cranial computerized tomography. Springer, Berlin/Heidelberg/New York 1976, pp. 202–206.

    Google Scholar 

  43. Peeters, F. L. M.: Radiological diagnosis of orbital tumors. Radiol. clin. (Basel)46 (1977) 18–25.

    Google Scholar 

  44. Peeters, F. L. M., R. Kröger, B. Verbeeten jr., C. Versteege: The value of computer-tomography, orbital venography and carotid angiography in the diagnosis of exophthalmos. Radiologica clin.46 (1977) 430–438.

    Google Scholar 

  45. Perry, B. J., C. Bridges: Computerized transverse axial scanning (tomography), Part 3: Radiation dose considerations. Brit. J. Radiol.46 (1973) 1048–1051.

    PubMed  Google Scholar 

  46. Salvolini, U., E. A. Cabanis, A. Rodallec, F. Menichelli, U. Pasquini, M. T. Iba-Zizen: Computed tomography of the optic nerve. Part 1: Normal results. J. Comput. Assist. Tomogr.2 (1978) 141–149.

    PubMed  Google Scholar 

  47. Salvolini, U., F. Menichelli, U. Pasquini: Computer assisted tomography in 90 cases of exophthalmos. J. Comput. Assist. Tomogr.1 (1977) 81–100.

    PubMed  Google Scholar 

  48. Sanders, M.: The contribution of CAT in neuroophthalmology. ESCAT Seminar, London, October (1976).

    Google Scholar 

  49. Tadmor, R., P. F. J. New: Computed tomography of the orbit with special emphasis on coronal sections. Part 1: Normal anatomy. J. Comput. Assist. Tomogr.2 (1978) 24–34.

    PubMed  Google Scholar 

  50. Tadmor, R., P. F. J. New: Computed tomography of the orbit with special emphasis on coronal sections. Part 2: Pathological anatomy. J. Comput. Assist. Tomogr.2 (1978) 35–44.

    PubMed  Google Scholar 

  51. Takahashi, M., Y. Tamakawa: Coronal computed tomography in orbital disease. J. Comput. Assist. Tomogr.1 (1977) 505–509.

    PubMed  Google Scholar 

  52. Van Damme, W., Ph. Kosmann, C. Wackenheim: A standardizing method for computed tomography of the orbits. Neuroradiology13 (1977) 139–140.

    PubMed  Google Scholar 

  53. Vermess, M., B. F. Haynes, A. S. Fauci, S. M. Wolff: Computer assisted tomography of orbital lesions in Wegener's granulomatosis. J. Comput. Assist. Tomogr.2 (1978) 45–48.

    PubMed  Google Scholar 

  54. Wackenheim, A., W. von Damme, P. Kosmann, B. Bittighofer: Computed tomography in ophthalmology. Neuroradiology13 (1977) 135–138.

    PubMed  Google Scholar 

  55. Wende, S., A. Aulich: Die Computer-Tomographie der Orbita. In: K. Ullerich: Die gezielte Diagnostik raumfordernder Prozesse der Orbita. Enke, Stuttgart 1976

    Google Scholar 

  56. Wende, S., A. Aulich, S. Lange, W. Lanksch, E. J. Schmitt: Computerized tomography in diseases of the orbital region. In: Lanksch, W., E. Kazner: Cranial Computerized Tomography. Springer, Berlin/Heidelberg/New York 1976, pp, 207–211.

    Google Scholar 

  57. Wende, S., A. Aulich, A. Nover, W. Lanksch, E. Kazner, H. Steinhoff, W. Meese, S. Lange, T. Grumme: Computed tomography of orbital lesions. A cooperative study of 210 cases. Neuroradiology13 (1977) 123–134.

    PubMed  Google Scholar 

  58. Wollensak, J., H. Bleckmann, S. Lange, Th. Grumme: Computertomographie des Auges und der Orbita. Mschr. Ophthal.168 (1976) 467–475.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Dedicated to Professor K. J. Zülch on the occasion of his 70th birthday.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Wende, S., Kazner, E. & Grumme, T. The diagnostic value of computed tomography in orbital diseases. Neurosurg. Rev. 3, 43–49 (1980). https://doi.org/10.1007/BF01644418

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01644418

Key words

Schlüsselwörter

Navigation