Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA.
Ophthalmic Plast Reconstr Surg. 2009 Nov-Dec;25(6):491-3. doi: 10.1097/IOP.0b013e3181b80c42.
A 31-year-old pregnant woman presented with subacute painful proptosis due to an orbital apex mass arising from the right medial rectus muscle. The patient developed compressive optic neuropathy refractory to systemic prednisone and underwent orbitotomy with posterior orbital decompression through a transcaruncular approach. Pathologic examination showed intramuscular hemangioma, a benign vascular hamartoma of skeletal muscle, which rarely occurs in the orbit. The optic neuropathy and proptosis resolved without consecutive strabismus or enophthalmos.
一位 31 岁孕妇因右侧内直肌起源的眶尖肿块出现亚急性疼痛性眼球突出就诊。患者发生压迫性视神经病变，对全身泼尼松治疗无反应，随后接受经结膜入路的眶切开术和眶后减压术。病理检查显示为肌内血管瘤，这是一种罕见发生于眼眶的良性骨骼肌血管错构瘤。视神经病变和眼球突出在没有后续斜视或眼球内陷的情况下得到缓解。
