title: Combined surgical and sclerotherapy for an extensive venous-lymphatic orbital anomaly.
abstract: Combined venous-lymphatic anomalies (lymphangiomas) of the orbit are nonhereditary, congenital lesions. We report the case of a 6-year-old boy with an extensive right orbital venous-lymphatic anomaly and severe facial deformity who developed 3 intraconal hemorrhages over 3 months. Although the visual acuity was recovered in the first two surgical interventions, the last episode of bleeding resulted in permanent visual acuity loss. At that stage, adjunctive therapy with n-butyl-cyanoacrylate allowed for greater surgical excision. No further episodes of recurrent hemorrhage occurred and the exophthalmos was corrected, thereby improving his overall cosmesis.
authors.affiliation: Department of Ophthalmology, Tulane Health Science Centre, Tulane University, New Orleans, Louisiana, USA.
authors.forename: Anika
authors.initials: A
authors.lastname: Tandon
authors.forename: Scott
authors.initials: S
authors.lastname: Jones
authors.forename: Alejandra A
authors.initials: AA
authors.lastname: Valenzuela
mesh_terms: D002648:Child; D003131:Combined Modality Therapy / Q000379:methods; D005094:Exophthalmos / Q000209:etiology; D006222:Hamartoma / Q000628:therapy*; D006801:Humans; D008202:Lymphangioma / Q000628:therapy*; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D009918:Orbital Neoplasms / Q000628:therapy*; D015911:Sclerotherapy; D012983:Soft Tissue Neoplasms / Q000628:therapy*; D016896:Treatment Outcome