My name is Dr. Raymond Cho. I’m the
director of ophthalmic plastic and reconstructive surgery, also known as
oculoplastic and orbital surgery, at The Ohio State University Wexner Medical
Center. Some patients present to our office with tumors inside the eye socket.
Some of those tumors are benign, in fact the majority of tumors in the eye socket
are fortunately benign, but some of them are also cancer or malignant and my job
is often to figure out which ones are benign and which are malignant. Sometimes you can figure out whether they are benign versus cancer just by the CT scan
or the MRI home study, and virtually everybody who has an orbital problem is
going to get an imaging study either before they see me or or once they’ve
seen me I go ahead and order this study. In order to determine whether a tumor is
benign or malignant, sometimes we need to actually do a
biopsy which means we have to take a person to the operating room, enter the
orbits and then remove either a piece of the tumor or the entire thing
depending on what we think it is. Then we send the specimens to pathology, the pathologist looks at it under the microscope and they can give us a
pretty good idea of what’s going on. Once we’ve done a biopsy of the tumor and we
have determined that it is a malignant or cancerous tumor, then sometimes very
often we have to get multiple specialists involved. Sometimes, an
ear nose and throat specialist has to be involved in the removal of the tumor.
Sometimes they have to also be involved in the reconstruction of the
orbit or the eye socket or the face after the tumors been removed. Also, here at the James we have an excellent oncology service who can
provide radiation or chemotherapy or a combination of therapies that can give
the patient the best chance of survival and even preservation of vision.