Orbital decompression for gross proptosis associated with orbital lymphangioma.
A 14-year-old boy with 11 mm of proptosis and exposure keratopathy secondary to an orbital lymphangioma underwent surgical debulking with a carbon dioxide laser through a lateral orbitotomy combined with a 3-wall orbital decompression. The proptosis was reduced by approximately 2 mm as a result of the debulking procedure, but a further 5 mm reduction was achieved with the orbital decompression. No serious adverse effects were encountered. Bony orbital decompression may be a useful alternative treatment in patients with severe proptosis secondary to orbital lymphangioma.
Hsuan
James
J
Oculoplastic and Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, University of Adelaide, Australia. james.hsuan@talk21.com
Malhotra
Rahman
R
Davis
Garry
G
Selva
Dinesh
D
D000293:Adolescent; D019299:Decompression, Surgical / Q000379:methods*; D005094:Exophthalmos / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008202:Lymphangioma / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D009918:Orbital Neoplasms / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome