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Fair outcome following conservative treatment in three cases of orbital lymphangioma with acute proptosis Naohiro Miyai 1 , Takahiro Hiraoka 1 , Junichiro Saito 1 , Yukiko Mizushima 1 , Tetsuro Oshika 1 1Dept of Ophthalmol,Tsukuba Univ Hosp pp.899-906
Published Date 2010/6/15
DOI https://doi.org/10.11477/mf.1410103216
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Abstract. Background:Orbital lymphangioma may undergo intratumoral hemorrhage and manifest acute proptosis,impaired visual acuity,increased intraocular pressure(IOP)and impaired ocular motility. Surgery is indicated in severe cases. Purpose:To report three cases of orbital lymphangioma that resolved following conservative treatment. Cases and Findings:The present series comprised a boy aged 8 years,a male and a female aged 35 years. All were unilaterally affected and manifested acute proptosis,impaired ocular motility and elevated IOP. Corrected visual acuity was 0.6,0.04 and 0.3 respectively. Magnetic resonance imaging(MRI)led to the diagnosis of orbital lymphangioma. Each case refused surgery and received conservative treatment for hemorrhage and elevated IOP. Spontaneous recovery set in about one month later regarding visual acuity,IOP,and clinical manifestations. Each case attained final visual acuity of 0.9. Conclusion:These cases illustrate that orbital lymphangioma may undergo spontaneous resolution following conservative treatment only.


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電子版ISSN 1882-1308 印刷版ISSN 0370-5579 医学書院

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