Introduction: Ophthalmic pathology including orbital, intraocular, and periorbital is unique. Wide spectrum of infections and neoplasia; benign as well as malignant are seen in this area. Many neoplastic conditions mimic non-neoplastic inflammatory conditions and needs differentiation before definitive therapy. Cytology is a simple, safe and fairly accurate technique for differentiating inflammatory from neoplastic and benign from malignant conditions thus avoiding more invasive surgical biopsies in these delicate areas. Present study was aimed to evaluate the role of fine needle aspiration as a tool in diagnosis of intra orbital and peri ocular adnexal lesions. Material and Method: FNAC was performed in a series of 20 patients presenting with intra orbital and peri ocular adnexal masses after clinical and radiological evaluation. Smears were analysed by a cytologist and histopathological confirmation was done as indicated.
Results :The age ranged from 19 to 70 years. Male: Female ratio was 11:9. Of 20 cases, 03; 04; 03; 10 were infective, benign cystic lesions, benign neoplastic and malignant respectively. Of malignancies 02; 03; 02; 01; 01; 01 were of basal cell carcinoma, sebaceous carcinoma, squamous cell carcinoma, adenoid cystic carcinoma, micro cystic adnexal carcinoma and diffuse large B cell lymphoma respectively. Confirmation was done in 16 /20 cases. Concordance rate of FNAC with histologic diagnosis was 100% in broadly classifying them into infective, benign cystic, benign neoplastic and malignant neoplastic pathology. However, histopathology and Flow cytometry was helpful in subclassifying them in select cases.