Selective embolization and resection of a large noninvoluting congenital hemangioma of the lower eyelid.
OBJECTIVE
To present a combined interventional radiologic and resection technique for the management of a large amblyogenic, highly vascular lesion of the lower eyelid associated with severe mechanical ectropion, conjunctival pyogenic granuloma, and recurrent, spontaneous conjunctival bleeding.


METHODS
Preoperative selective embolization and coil placement were followed by resection of the tumor.


RESULTS
Embolization, coil placement, and resection were uneventful with cosmetic and functional visual improvement obtained. Pathology indicated a noninvoluting congenital hemangioma.


CONCLUSIONS
To the authors' knowledge, this is the first surgical technique reported in the ophthalmic literature for the selective embolization of a noninvoluting congenital hemangioma prior to its resection. Such a technique should be considered in the management of large lesions of this type.
Ooi
Kenneth G-J
KG
Department of Ophthalmology, Prince of Wales Hospital, University of New South Wales, Sydney, Australia.
Wenderoth
Jason D
JD
Francis
Ian C
IC
Wilcsek
Geoffrey A
GA
D002533:Cerebral Angiography; D002648:Child; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005142:Eyelid Neoplasms / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D006391:Hemangioma / Q000151:congenital* / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D011300:Preoperative Care; D014057:Tomography, X-Ray Computed; D018608:Ultrasonography, Doppler