Kashkouli Mohsen Bahmani, Imani Marjan, Tarassoly Kia, Kadivar Maryam
Oculoplastic Service, Eye Research Center, Rassoul Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.
Ophthalmic Plast Reconstr Surg. 2005 Nov;21(6):461-3. doi: 10.1097/01.iop.0000180756.32324.c3.
A 41-year-old man presented with a 7-year history of gradually increasing right proptosis and a 2-year history of decreased vision and limited eye movements. Right proptosis (11 mm), limitation of movement in all gazes, anisocoria, and visual impairment implied orbital apex compression. Computed tomography showed several distinct lesions with mild delayed enhancement extending to the orbital apex. Through a lateral orbitotomy, 10 discrete hemangiomas were removed uneventfully. Histopathologic findings were consistent with cavernous hemangioma in all tumors removed. Proptosis resolved after surgery at 3 to 4 weeks. Visual acuity was unchanged (20/25), and eye movement significantly improved at last follow-up, 15 months after surgery.
一名41岁男性，有7年逐渐加重的右眼球突出病史，以及2年视力下降和眼球活动受限病史。右眼球突出（11毫米）、各注视方向活动受限、瞳孔不等大及视力损害提示眶尖受压。计算机断层扫描显示有几个不同的病变，轻度延迟强化，延伸至眶尖。通过外侧眶切开术，顺利切除了10个独立的血管瘤。所有切除肿瘤的组织病理学结果均符合海绵状血管瘤。术后3至4周眼球突出消退。视力无变化（20/25），术后15个月最后一次随访时眼球活动明显改善。
