Madida Ramakishna (40), resident of Turpupalem village in Malkipuram Mandal in Konaseema, had developed severe protrusion and diminished vision of left eye.

He consulted several doctors and no surgery was attempted.

He approached GSL General Hospital attached to GSL Medical College, Rajahmundry where intra orbital tumor was diagnosed and was successfully operated by neurosurgeon Dr. Phanikumar.

Post operatively the tumor biopsy suggestive of tumor arising from lachrymal gland.

The critical stage of surgery is that the tumor was operated through cranial approach by pushing brain towards midline and cutting bony roof plate of orbit.

The tumour was found to be occupying three fourth of orbital cavity, eroding orbital roof and penetrating into cranial cavity.

Dr. Phanikumar said that had it been not operated, the possible transformation of growth into malignancy might erode extensively the orbital cavity, displacing or penetrating brain substance, resulting in possible paralysis, complete loss of vision in left eye..

Dr. Phanikumar said surgery took around 6 hours and after surgery there was cosmetic improvement and improvement in vision.

The patient will discharged in four days,Ganni Bhaskara Rao, Chairman, of the GSL Medical College, said.