Background/Aim: Lymphomas of the orbit and orbital adnexa are important concerns in ophthalmologic practice; however, due to their nonspecific signs and symptoms, establishing a definitive diagnosis is often challenging. This study aimed to further expand understanding of these entities by assessing the histopathological subtypes and characteristic features of orbital lymphomas in a population undergoing orbital surgery at the Department of Ophthalmology in Katowice. Patients and Methods: Between 2011 and 2017, a total of 107 orbital surgeries were performed for various orbital tumors. Tissue samples were subjected to histopathological analysis. In all patients, orbital lesions were evaluated using contrast-enhanced magnetic resonance imaging or computed tomography. Additionally, several parameters were measured at baseline and after surgery, including best-corrected visual acuity (BCVA), intraocular pressure (IOP) and associated ocular comorbidities. Results: Histopathological examination identified B-cell lymphomas in 15 patients (8 women and 7 men; mean age, 65.61 years). Palpable orbital lesions were the most common manifestation of lymphoma (88.89% of cases). No significant changes in BCVA or intraocular pressure were observed postoperatively. Conclusion: Owing to its heterogeneous nature, orbital lymphoma may present with a wide range of clinical symptoms, often mimicking inflammatory conditions. Imaging studies and histopathological examination are essential for establishing the diagnosis and guiding subsequent treatment.
Pojda‐Wilczek et al. (Mon,) studied this question.