Hsuan James, Malhotra Rahman, Davis Garry, Selva Dinesh
Oculoplastic and Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, University of Adelaide, Australia.
Ophthalmic Plast Reconstr Surg. 2004 Nov;20(6):463-5. doi: 10.1097/01.iop.0000144790.78416.e7.
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.
一名14岁男孩因眼眶淋巴管瘤继发11毫米眼球突出和暴露性角膜病变，通过外侧眶切开术联合三壁眼眶减压术，使用二氧化碳激光进行手术减瘤。减瘤手术后眼球突出减少了约2毫米，但眼眶减压术又使其进一步减少了5毫米。未出现严重不良反应。对于眼眶淋巴管瘤继发严重眼球突出的患者，眼眶骨性减压可能是一种有效的替代治疗方法。
