First, how can the eye socket also get a tumor? We say that the eye is the window to the soul, and we are all very familiar with the eyeball, but the term “orbital” is very unfamiliar. In a narrow sense, we are talking about the orbital wall of the eye socket. There are two orbits in a human being, and these two orbits are actually a cavity made up of many bone walls; so what is the function of this cavity? It serves to hold the eyeball, as well as the soft tissues, nerves, and blood vessels behind the eyeball, and there is a lot of fat in it, which is very soft. If the eyeball is traumatized, just like an athlete jumping from pole vault to a cushion, it plays a protective role. We call all the tumors occurring in the orbit as orbital tumors, that is to say, in addition to the eyeball, including the tumors occurring between the back of the eyeball and the orbital bone wall, which contains muscles, nerves and fats, all of which can develop tumors. Why do orbital tumors occur? Orbital tumors occur for various reasons, some of them are congenital, some of them have some immune abnormality, some of them have genetic factors, and some of them are more common as a gene mutation, which is still more complicated. What are orbital tumors? Orbital tumors can be divided into two categories, one is benign and the other is malignant. 1. Benign tumors: it is just an expansive growth, from small to big. If the tumor is large in size, it will compress the surrounding nerves, blood vessels and muscles, and if it compresses the optic nerve, the patient may lose his/her eyesight. This is a benign lesion, common cavernous hemangioma, nerve sheath tumor, lacrimal gland pleomorphic adenoma, etc. 2, malignant tumor: malignant tumors can grow to the surrounding, for example, it grows to the surrounding of these pores, as well as the orbital depths; it can even grow to the brain, and can even grow along the bloodstream, then it can be directly endangered life. Common orbital malignant tumors include lymphoma, pleomorphic adenocarcinoma of lacrimal gland in adults and rhabdomyosarcoma in children. What are the feelings and manifestations of orbital tumor patients? Orbital tumors usually have no abnormal sensation at the beginning, and only when the tumor develops to a certain degree will it be found. In some cases, if the patient feels swelling and pain in the eyes, or even dizziness, headache, or finds some eye swelling, mild protrusion of eyeballs, or blurred vision, double vision, it is better to pay attention to it and go to the hospital for checking. If the old people feel that there is vision loss, they may think that it is cataract or something, and do not go to the hospital in time, then if the young people have bad vision, sometimes they think that it is because of hard work and labor, and it is easy to ignore these symptoms. Typical early symptoms of orbital tumor: 1, appearance: eyeball protrusion; 2, feeling: eye swelling, headache and dizziness; 3, vision: double image or blurring; 4, self-checking: feel the lump. V. How can doctors determine that a patient has an orbital tumor? Sometimes when orbital tumor is in the early stage, it does not grow very big, it does not compress the eyeball or the optic nerve, the symptoms of eyeball protrusion may not be very obvious, and the vision loss is not very obvious, and it is relatively hidden. If the tumor grows slowly, compresses the eyeball, deforms the eyeball, and may cause fundus edema, resulting in distortion of vision, or compression of the optic nerve and loss of vision. Then how to judge it, do some examination to make sure whether you have orbital tumor or not, we can do orbital ultrasound, MRI, CT examination, through these imaging examinations can judge whether you have orbital tumor or not. How to detect orbital tumor by patients themselves? If there is an early manifestation of orbital tumor, extra attention should be paid. What other diseases resemble orbital tumors? We already know that orbital tumors most often appear as protrusion of the eyeball. Of course, besides orbital tumors, there are many other diseases that may cause eyeball protrusion, such as hyperthyroidism, orbital inflammatory pseudotumor, dacryoadenitis and other orbital inflammation; in addition, orbital parasites, bacterial infections, and sometimes orbital vascular degeneration, which may also cause eyeball protrusion. However, through the imaging examination mentioned earlier, we can judge whether it is tumor or other problems. What are the treatments for orbital tumor? Once a tumor is found in the orbit, it should be surgically removed, but it is not a generalization. There are also deep orbital tumors, which are very closely connected with nerves and blood vessels. If the preliminary judgment is benign, then it can not be operated in time. Most of the orbital tumors need surgery, and for some tumors, especially malignant orbital tumors, follow-up radiotherapy or chemotherapy should be carried out after surgery to further kill the tumor cells. How to choose the appropriate treatment for a patient with orbital tumor? Generally, if an orbital tumor is found, surgery should be done as soon as possible, and the surgery should be done when the systemic condition permits.