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Transactions of the American Ophthalmological Society logoLink to Transactions of the American Ophthalmological Society
. 1985;83:546–609.

A method for volume determination of the orbit and its contents by high resolution axial tomography and quantitative digital image analysis.

W C Cooper
PMCID: PMC1298712  PMID: 3938582

Abstract

The various congenital and acquired conditions which alter orbital volume are reviewed. Previous investigative work to determine orbital capacity is summarized. Since these studies were confined to postmortem evaluations, the need for a technique to measure orbital volume in the living state is presented. A method for volume determination of the orbit and its contents by high-resolution axial tomography and quantitative digital image analysis is reported. This procedure has proven to be accurate (the discrepancy between direct and computed measurements ranged from 0.2% to 4%) and reproducible (greater than 98%). The application of this method to representative clinical problems is presented and discussed. The establishment of a diagnostic system versatile enough to expand the usefulness of computerized axial tomography and polytomography should add a new dimension to ophthalmic investigation and treatment.

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Selected References

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  1. ALEXANDER J. C., ANDERSON J. E., HILL J. C. The determination of orbital volume. Trans Can Opthalmolog Soc. 1961;24:105–111. [PubMed] [Google Scholar]
  2. Ameniya T., Matsumura M., Hirose Y. Effects of radiation after enucleation without implantation on orbital development of patients with retinoblastoma. Ophthalmologica. 1977;174(3):137–144. doi: 10.1159/000308591. [DOI] [PubMed] [Google Scholar]
  3. Apt L., Isenberg S. Changes in orbital dimensions following enucleation. Arch Ophthalmol. 1973 Nov;90(5):393–395. doi: 10.1001/archopht.1973.01000050395013. [DOI] [PubMed] [Google Scholar]
  4. Austin J. H., Gooding C. A. Roentgenographic measurement of skull size in children. Radiology. 1971 Jun;99(3):641–646. doi: 10.1148/99.3.641. [DOI] [PubMed] [Google Scholar]
  5. BLODI F. C. Developmental anomalies of the skull affecting the eye. AMA Arch Ophthalmol. 1957 Apr;57(4):593–610. doi: 10.1001/archopht.1957.00930050605015. [DOI] [PubMed] [Google Scholar]
  6. Blodi F. C. Pathology of orbital bones. The XXXII Edward Jackson Memorial Lecture. Am J Ophthalmol. 1976 Jan;81(1):1–26. doi: 10.1016/0002-9394(76)90186-0. [DOI] [PubMed] [Google Scholar]
  7. CULLER A. M. Orbital implants after enucleation; basic principles of anatomy and physiology of the orbit and relation to implant surgery. Trans Am Acad Ophthalmol Otolaryngol. 1952 Jan-Feb;56(1):17–20. [PubMed] [Google Scholar]
  8. DI CHIRO G., NELSON K. B. The volume of the sella turcica. Am J Roentgenol Radium Ther Nucl Med. 1962 Jun;87:989–1008. [PubMed] [Google Scholar]
  9. Eikman E. A., Mack G. A., Jain V. K., Madden J. A. Computer-assisted liver-mass estimation from gamma-camera images. J Nucl Med. 1979 Feb;20(2):144–148. [PubMed] [Google Scholar]
  10. FISHER R. L., DICHIRO G. THE SMALL SELLA TURCICA. Am J Roentgenol Radium Ther Nucl Med. 1964 May;91:996–1008. [PubMed] [Google Scholar]
  11. HOWARD G. M., KINDER R. S., MACMILLAN A. S., Jr ORBITAL GROWTH AFTER UNILATERAL ENUCLEATION IN CHILDHOOD. Arch Ophthalmol. 1965 Jan;73:80–83. doi: 10.1001/archopht.1965.00970030082016. [DOI] [PubMed] [Google Scholar]
  12. Heymsfield S. B., Fulenwider T., Nordlinger B., Barlow R., Sones P., Kutner M. Accurate measurement of liver, kidney, and spleen volume and mass by computerized axial tomography. Ann Intern Med. 1979 Feb;90(2):185–187. doi: 10.7326/0003-4819-90-2-185. [DOI] [PubMed] [Google Scholar]
  13. KENNEDY R. E. THE EFFECT OF EARLY ENUCLEATION ON THE ORBIT; IN ANIMALS AND HUMANS. Am J Ophthalmol. 1965 Aug;60:277–306. doi: 10.1016/0002-9394(65)90929-3. [DOI] [PubMed] [Google Scholar]
  14. Keats T. E., Enge I. P. Cardiac mensuration by the cardiac volume method. Radiology. 1965 Nov;85(5):850–855. doi: 10.1148/85.5.850. [DOI] [PubMed] [Google Scholar]
  15. Kennedy R. E. Bone changes in the adult anophthalmic orbit influencing oculoplastic reconstructive considerations. Trans Am Ophthalmol Soc. 1976;74:237–250. [PMC free article] [PubMed] [Google Scholar]
  16. Kennedy R. E. Growth retardation and volume determinations of the anophthalmic orbit. Trans Am Ophthalmol Soc. 1972;70:278–297. [PMC free article] [PubMed] [Google Scholar]
  17. Louria D. B., Coumbis R. J., Lavenhar M. A., Bogden J. D., Farnsworth P. N., Bergen R. L., Goldstein H. R., Hammond J. An apparent small cluster of choroidal melanoma cases. Am J Ophthalmol. 1982 Aug;94(2):172–180. doi: 10.1016/0002-9394(82)90072-1. [DOI] [PubMed] [Google Scholar]
  18. MORIN J. D., HILL J. C., ANDERSON J. E., GRAINGER R. M. A STUDY OF GROWTH IN THE INTERORBITAL REGION. Am J Ophthalmol. 1963 Dec;56:895–901. doi: 10.1016/0002-9394(63)92325-0. [DOI] [PubMed] [Google Scholar]
  19. McLachlan M. S., Williams E. D., Fortt R. W., Doyle F. H. Estimation of pituitary gland dimensions from radiographs of the sella turcica. A post-mortem study. Br J Radiol. 1968 May;41(485):323–330. doi: 10.1259/0007-1285-41-485-323. [DOI] [PubMed] [Google Scholar]
  20. Morse P. H., Walsh F. B., McCormick J. R. Ocular findings in hereditary diaphyseal cysplasia (Engelmann's disease). Am J Ophthalmol. 1969 Jul;68(1):100–104. doi: 10.1016/0002-9394(69)94939-3. [DOI] [PubMed] [Google Scholar]
  21. Osborne D., Hadden O. B., Deeming L. W. Orbital growth after childhood enucleation. Am J Ophthalmol. 1974 May;77(5):756–759. doi: 10.1016/0002-9394(74)90545-5. [DOI] [PubMed] [Google Scholar]
  22. Pfeiffer R. L. Roentgenography of Exophthalmos, with Notes on the Roentgen Ray in Ophthalmology. Trans Am Ophthalmol Soc. 1941;39:492–560. [PMC free article] [PubMed] [Google Scholar]
  23. Reese D. F., O'Brien P. C., Beeler G. W., Jr, Gerding P. R., McCullough E. C. An investigation for extracting more information from computerized tomography scans. Am J Roentgenol Radium Ther Nucl Med. 1975 Jun;124(2):177–185. doi: 10.2214/ajr.124.2.177. [DOI] [PubMed] [Google Scholar]
  24. SARNAT B. G., SHANEDLING P. D. POSTNATAL GROWTH OF THE ORBIT AND UPPER FACE IN RABBITS AFTER EXENTERATION OF THE ORBIT. Arch Ophthalmol. 1965 Jun;73:829–837. doi: 10.1001/archopht.1965.00970030831015. [DOI] [PubMed] [Google Scholar]
  25. SMITH B., CONVERSE J. M. Early treatment of orbital floor fractures. Trans Am Acad Ophthalmol Otolaryngol. 1957 Sep-Oct;61(5):602–608. [PubMed] [Google Scholar]
  26. Sarnat B. G., Shanedling P. D. Orbital volume following evisceration, enucleation, and exenteration in rabbits. Am J Ophthalmol. 1970 Nov;70(5):787–799. doi: 10.1016/0002-9394(70)90503-9. [DOI] [PubMed] [Google Scholar]
  27. Sarnat B. G. The imprint method to determine orbital volume in the rabbit. Ophthalmologica. 1970;160(3):142–151. doi: 10.1159/000305983. [DOI] [PubMed] [Google Scholar]
  28. Smith B., Obear M., Leone C. R., Jr The correction of enophthalmos associated with anophthalmos by glass bead implantation. Am J Ophthalmol. 1967 Dec;64(6):1088–1093. doi: 10.1016/0002-9394(67)93061-9. [DOI] [PubMed] [Google Scholar]
  29. Tadmor R., New P. F. Computed tomography of the orbit with special emphasis on coronal sections: Part I. Normal anatomy. J Comput Assist Tomogr. 1978 Jan;2(1):24–34. doi: 10.1097/00004728-197801000-00004. [DOI] [PubMed] [Google Scholar]
  30. Tessier P. The definitive plastic surgical treatment of the severe facial deformities of craniofacial dysostosis. Crouzon's and Apert's diseases. Plast Reconstr Surg. 1971 Nov;48(5):419–442. doi: 10.1097/00006534-197111000-00002. [DOI] [PubMed] [Google Scholar]
  31. WALK L. Roentgenologic determination of the liver volume. Acta radiol. 1961 Jan;55:49–56. doi: 10.3109/00016926109173816. [DOI] [PubMed] [Google Scholar]
  32. Walser R. L., Ackerman L. V. Determination of volume from computerized tomograms: finding the volume of fluid-filled brain cavities. J Comput Assist Tomogr. 1977 Jan;1(1):117–130. doi: 10.1097/00004728-197701000-00014. [DOI] [PubMed] [Google Scholar]
  33. Wolfe S. A. A rationale for the surgical treatment of exophthalmos and exorbitism. J Maxillofac Surg. 1977 Nov;5(4):249–257. doi: 10.1016/s0301-0503(77)80119-7. [DOI] [PubMed] [Google Scholar]
  34. van Limborgh J., Tonneyck-Müller I. Orbital growth pattern in experimental microphthalmia. Mod Probl Ophthalmol. 1975;14:1–4. [PubMed] [Google Scholar]

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