Surgical management of tumors involving the orbit

IMPORTANCE Surgical treatment of orbital tumors is a complex task that requires thorough preparation and precise planning. Since a large variety of tumors of different origins, anatomical extents, and histologic subtypes affect the globe, no "1-size-fits-all" approach can be offered. OBJECTIVE To describe an integrative approach for the optimal surgical management of patients with orbital tumors based on a review of the literature and on our own experience at a high-volume cancer center. EVIDENCE REVIEW Peer-reviewed English-language literature and a single-center cohort of patients undergoing orbital exenteration with eye sparing, reconstruction, and preservation of orbital function. FINDINGS Surgical treatment of orbital tumors is a complex task that requires thorough preparation and precise planning that would be aided by an algorithm. CONCLUSIONS AND RELEVANCE We offer an algorithm that summarizes our approach toward the 2 main decision points of orbital surgery: extent of resection and method of reconstruction.