Orbital lymphangiomas

Saha, Konal; Leatherbarrow, Brian

doi:10.1097/icu.0b013e3283560a99

Cited by 42 publications

(28 citation statements)

References 18 publications

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“…The causes of bleeding included blunt ocular trauma (n = 3), upper respiratory infection (n = 2), and a spontaneous event (n = 7). The tumors were classified as superficial (n = 0), deep (n = 6), combined (n = 4), or complex (n = 2) [5]. …”

Section: Resultsmentioning

confidence: 99%

“…This characteristic, along with the associated hemorrhage, presents many surgical challenges and renders management of orbital lymphangiomas very difficult. Several methods have been used to treat orbital lymphangioma, including systemic corticosteroids, injection of a sclerosant, and surgical excision, but currently, there are no definitive curative treatments [56]. Case reports and studies of orbital lymphangioma are rare in the Korean population.…”

mentioning

confidence: 99%

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Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases

Woo

Kim

Sgrignoli³

et al. 2017

Korean J Ophthalmol

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PurposeTo report the patient characteristics and treatment outcomes in 12 cases of orbital lymphangioma.MethodsIn 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.ResultsFour 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.ConclusionsOrbital 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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Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

Orbital Lymphangioma: Characteristics and Treatment Outcomes of 12 Cases

Woo

Kim

Sgrignoli³

et al. 2017

Korean J Ophthalmol

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“…Fibrin tissue adhesive has been widely applied in various medical fields, including ophthalmic surgery such as vitreoretinal, glaucoma, ocular surface, cataract and refractive surgery [3,4,5,6,7,8,9,13,14,15,16,17,18]. To our knowledge, this is one of a few reports concerning the applicability of bioadhesive in ocular surface tumor surgery [5,15].…”

Section: Discussionmentioning

confidence: 99%

Surgical Reconstruction of Ocular Surface Tumors Using Fibrin Sealant Tissue Adhesive

2016

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Purpose: To evaluate the surgical outcomes of ocular surface reconstruction in corneal-conjunctival tumors using fibrin tissue adhesive. Methods: A prospective noncomparative study was performed between May 2013 and February 2015. Patients were submitted to routine surgical procedure for corneal-conjunctival tumor excision followed by amniotic membrane graft transplantation using fibrin tissue adhesive (Evicel®, Omrix Biopharmaceuticals Ltd., Israel). Results were assessed on the 1st, 7th, 15th and 30th postoperative days to analyze subjective complaints, adhesiveness and positioning of the graft, potential complications and recurrences. Results: Twenty-five eyes were analyzed (male, 14). The diagnosis after the treatment was categorized as squamous cell neoplasia, dysplasia, actinic keratosis, squamous papilloma and compound melanocytic nevus. Few significant symptoms were reported, such as mild hyperemia and ocular dyscomfort. One case developed a conjunctival granuloma which regressed after topical treatment. All grafts were successful with no displacements or retraction postoperatively. There was no clinical recurrence of the tumor in a mean time of follow-up of 11 months. Conclusion: Fibrin tissue adhesive is safe and effective in the surgery of ocular surface tumor. In this series, sutureless amniotic membrane transplantation using fibrin glue has the potential to shorten the surgical time, mitigate inflammation postoperatively and improve patient discomfort.

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“…Термин «лимфангиома» не является доста-точно точным, поскольку подразумевает нали-чие новообразованных лимфатических сосудов [1,8,12]. Лимфангиома представляет собой разрастание гетеротопических периваскулярных лимфатических сосудов.…”

Section: лимфангиома орбитыunclassified

“…Хирургическая тактика варьирует в зависимости от расположения, глубины поражения и степени вовлечения окружающих структур [1,12].…”

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