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Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases

 Young Jun Woo  ;  Chang Yeom Kim  ;  Bradford Sgrignoli  ;  Jin Sook Yoon 
 Korean Journal of Ophthalmology, Vol.31(3) : 194-201, 2017 
Journal Title
 Korean Journal of Ophthalmology 
Issue Date
Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Female ; Follow-Up Studies ; Humans ; Infant ; Lymphangioma/diagnosis* ; Lymphangioma/surgery ; Magnetic Resonance Imaging ; Male ; Middle Aged ; Ophthalmologic Surgical Procedures/methods* ; Orbital Neoplasms/diagnosis* ; Orbital Neoplasms/surgery ; Retrospective Studies ; Tomography, X-Ray Computed ; Treatment Outcome ; Young Adult
Hemorrhage ; Lymphangioma ; Sclerotherapy ; Treatment outcome
PURPOSE: To report the patient characteristics and treatment outcomes in 12 cases of orbital lymphangioma. METHODS: In this study, orbital lymphangioma was diagnosed based on clinical, radiologic (computed tomography, magnetic resonance imaging), and histologic findings when possible. Patients whose vision was not compromised by orbital lymphangioma, or that did not have increased intraocular pressure (IOP), received oral corticosteroids. Orbital lymphangioma that affected vision or increased IOP was treated by surgery, which included aspiration of blood or partial resection with or without injection of a sclerosant. RESULTS: Four patients without compromised vision responded well to oral corticosteroids. Eight patients with compromised vision underwent some form of surgery. Bleeding recurred in three patients after aspiration of blood and in two after partial resection and intralesional injection of a sclerosant. Overall, five patients were treated successfully by aspiration of blood, intralesional injection of a sclerosant, and application of continuous negative pressure by appropriate drainage. Partial resection was successful in two patients with organized hematoma. CONCLUSIONS: Orbital lymphangioma that does not compromise vision can be treated medically using oral corticosteroids. Patients with threatened vision or elevated IOP due to acute hemorrhage should be treated by aspiration of blood, intralesional injection of a sclerosant, and application of continuous negative pressure. Partial resection may be effective only in patients with organized hematoma.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
김창염(Kim, Chang Yeom)
우영준(Woo, Young Jun)
윤진숙(Yoon, Jin Sook) ORCID logo https://orcid.org/0000-0002-8751-9467
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