Orbital lymphoma and leukemias are the most common primary malignancy
of the orbit We reviewed our results in the management of 56 orbital l
ymphoma and leukemia cases over a 32-year period. All had orbital biop
sies. Treatment included radiotherapy (1,500 to 3,500 cGY, depending o
n the malignancy of the histology) in non-Hodgkin's lymphoma and lymph
oplasmacytoid tumors, systemic chemotherapy plus orbital irradiation i
n Hodgkin's lymphoma, and reticulum cell sarcoma and chemotherapy in B
urkitt's lymphoma and leukemias. At a mean follow-up of 5 years, 32.1%
of the patients died. Orbital lymphoma and leukemias can be potential
ly fatal.