Oncological Surgery of the Orbit in Israel

Professor Igal Leibovich

Ophthalmologist, specialist in oculoplastics

Orbital cancer is very dangerous due to its ability to rapidly spread metastases to the brain. Additionally, this disease is accompanied by a noticeable unaesthetic protrusion of the eyeball. Oncologists, ophthalmologists, and surgeons at Top Ihilov are highly competent in both treating the disease and restoring the natural appearance of the affected area of the face. The best techniques and state-of-the-art materials are used during the surgery. Thanks to the combination of all the aforementioned factors, medical care at the clinic has confidently maintained international medical standards for many years.

Calculate treatment cost

30%

of diagnoses made in CIS countries are found to be incorrect at Top Ihilov

100%

high-precision diagnostic program

24

-hour support in Russian

Table of contents

Methods

Stages

Prices

When asking where is the best place to treat cancer, choose medical institutions in the Promised Land. Patient reviews will tell you more eloquently about how orbital oncological surgery is performed in Israel.

When is orbital oncological surgery performed in Israel?

Surgical intervention on the orbit is performed for oncological diseases of various etiologies, particularly in cases of:

• rhabdomyosarcoma – a highly malignant tumour arising from skeletal muscle; most commonly occurs in children;
• lymphoma – a tumour of the lymphoid tissue of the eye, which can originate in various structures; this neoplasm is provoked by autoimmune diseases and immunodeficiencies;
• orbital sarcoma – a malignant tumour that can be derived from various tissues;
• adenocarcinoma – a malignant tumour arising from the sebaceous gland of the eye;
• adenocystic carcinoma – a neoplasm in the human lacrimal gland;
• cavernous hemangioma – a benign neoplasm of blood vessels, more commonly manifested in women;
• capillary hemangioma – a congenital neoplasm of capillary nature located in the skin of the eyelids, on the conjunctiva, extending to the orbit;
• meningioma – a tumour in the cranial cavity that secondarily invades the eye orbit.

In addition to the serious threat to the patient's health associated with the growth of metastases into the cranial cavity, as well as into the lungs, liver, and spine, tumours are characterized by the protrusion of the eyeball. This so-called exophthalmos is caused by the limited volume of the orbit and leads to disfigurement of the patient's appearance.

Types of procedure – removal of orbital tumours using different techniques

Orbital oncological surgery in Israel involves the removal of malignant formations of the orbit or the eye. If metastases have spread from the affected eye through the sclera into the orbit, both the eye and the orbit are removed.

There are three main techniques for eye removal.

• Evacuation – a surgical procedure for removing the eye, during which part of the sclera, extraocular muscles, and the optic nerve remain. The cornea, lens, vitreous body, and retina are removed using a surgical spoon. An implant is placed in the scleral shell, with the preserved muscles ensuring its mobility.
• Enucleation – removal of the eyeball, leaving only the fibrous shell. The ophthalmic surgeon first incises the outer eyelid adhesion, then cuts through the conjunctiva and periosteum with a scalpel, separating these tissues from the bony margin of the orbit. Then, special scissors are used to go behind the eyeball and cut the optic nerve. After that, a motility stump is formed. An implant is placed in the created cavity, and the conjunctiva and other tissues are sutured.
• Exenteration – removal of all tissues from the orbit, leaving only the bony walls. In cases of malignancy of the eyelid and conjunctival tissues, the operation is performed without preserving the eyelid skin. The surgeon makes an incision around the perimeter of the orbit, excising the skin and muscles down to the bone.

After the removal of the tumour, oculoplastic specialists reconstruct the damaged area. Both the patient's own cartilage and an artificial orbital implant can be used as replacement material. High-quality synthetic material allows for the perfect recreation of the lost orbital wall. The ocular prosthesis is made individually for each patient from the latest durable inert material, which is biologically compatible with the patient's tissues, is not rejected by the body as a foreign body, and does not cause discharge from the eye.

Before the surgery, the patient must undergo diagnostic procedures: PET-CT, ultrasound, fine-needle biopsy, eye angiography, X-ray, and ophthalmological examination of the fundus.

Orbital oncological surgery in Israel: cost

Top Ihilov – only advantages

• The ophthalmologists, oncologists, and plastic surgeons at the clinic expertly perform the surgery to remove the orbit: they use refined techniques, employ modern materials, achieving both the effect of healing and aesthetic restoration of the patient's appearance.
• The equipment, instruments, and implants used during treatment belong to the latest generation of developments in the medical world.
• Orbital oncological surgery in Israel: patient reviews indicate 100% accurate diagnostics and competent treatment.
• Prices for surgery at Top Ihilov are 30-50% lower than in clinics in other developed countries.
• The hospital's international department handles all organizational and everyday issues for the patient: arrival, accommodation, translation of documents into Hebrew, and provides support for companions during their stay at the clinic.