Orbital cyst/tumors

[Chris1051]

Hello, I also was diagnosed with a dermoid cyst in orbital area about 4years ago, was told was small and could leave it alone by orbital surgeon in eyeplastics at time I had no pain or symtoms, recently I started having symptoms of eye movement pain as well as orbital pain I have had another MRI and CT scan, dr's have said no change but the pain is getting worse. The orbital surgeon does not want to remove due to location, and risk? He states is in unusual location and is attatched to bone, he did not see any signs of rupture.  Dr told me he would have to saw through bone and move my chewing muscle over and so does not feel is a good idea to remove.  Any suggestions?   I am taking 800mg Ibuprofen and xibrom drops for eye every day do not want to have to continue to take, I should also add that I did have sinuses checked an no signs of infection.  Thank you

[Chris1051]

Thank you, I have set up appointment for a second opionion this has now been going on for a few months and am getting a little frustrated THank you for your advice I will make sure I research the Dr. before I go.

[Joan M Pernoud, MD]

Your oculoplastic surgeon has done the proper tests, etc. I presume this doctor subspecializes in orbital surgery exclusively. I suggest you continue trying pain medicines for awhile. There are higher doses of ibuprofen per day and other pain meds which you might try for several months as maybe this is just inflammed and it will quiet down with time.

However, if you are not improving within that time frame, you should consider getting a second opinion. Make sure the surgeon has had alot of experience with orbital surgery.