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Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases
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...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Ophthalmological Society
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5469922/ https://www.ncbi.nlm.nih.gov/pubmed/28534344 http://dx.doi.org/10.3341/kjo.2016.0034 |
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author | Woo, Young Jun Kim, Chang Yeom Sgrignoli, Bradford Yoon, Jin Sook |
author_facet | Woo, Young Jun Kim, Chang Yeom Sgrignoli, Bradford Yoon, Jin Sook |
author_sort | Woo, Young Jun |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-5469922 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | The Korean Ophthalmological Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-54699222017-06-21 Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases Woo, Young Jun Kim, Chang Yeom Sgrignoli, Bradford Yoon, Jin Sook Korean J Ophthalmol Original Article 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. The Korean Ophthalmological Society 2017-06 2017-05-12 /pmc/articles/PMC5469922/ /pubmed/28534344 http://dx.doi.org/10.3341/kjo.2016.0034 Text en © 2017 The Korean Ophthalmological Society http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Woo, Young Jun Kim, Chang Yeom Sgrignoli, Bradford Yoon, Jin Sook Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases |
title | Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases |
title_full | Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases |
title_fullStr | Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases |
title_full_unstemmed | Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases |
title_short | Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases |
title_sort | orbital lymphangioma: characteristics and treatment outcomes of 12 cases |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5469922/ https://www.ncbi.nlm.nih.gov/pubmed/28534344 http://dx.doi.org/10.3341/kjo.2016.0034 |
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