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Orbital imaging – top tips

Cameron Ritchie CT MRI neuroimaging neuroradiology orbital Reena Dwivedi

In this short review, we go through case-based imaging tips for selected common presentations of orbital pathologies. The cases covered relate to presentations of proptosis, pain, ophthalmoplegia/difficulty with eye movements and palpable mass.

CT and MR imaging are the most frequently requested modalities when patients present acutely or with more chronic orbital pathologies. Ultrasound has a potential role, particularly in paediatric settings, but remains operator dependent and not a feasible option in all units.

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