Kahana Alon, Bohnsack Brenda L, Cho Raymond I, Maher Cormac O
Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, Ann Arbor, 48105, USA.
Arch Ophthalmol. 2011 Aug;129(8):1073-6. doi: 10.1001/archophthalmol.2011.204.
Orbital lymphangiomas are congenital malformations with abnormal and dead-end lymphatic channels and present management challenges to ophthalmologists and orbital surgeons. Recurrent hemorrhage and expansion can lead to vision loss and disfigurement. We report our technique that uses adjunctive intraoperative injection of sodium morrhuate, 5%, under direct visualization into lymphangioma channels prior to excision. We believe that in the hands of experienced orbital surgeons, and with appropriate preoperative evaluation and careful surgical technique, this procedure is useful in saving vision and avoiding complications from orbital lymphangiomas.
眼眶淋巴管瘤是一种先天性畸形，伴有异常的终末淋巴管，给眼科医生和眼眶外科医生带来了治疗挑战。反复出血和扩张可导致视力丧失和容貌损毁。我们报告了一种技术，即在切除术前，在直视下将5%的鱼肝油酸钠术中辅助注射到淋巴管瘤通道中。我们相信，在经验丰富的眼眶外科医生手中，通过适当的术前评估和仔细的手术技术，该手术对于挽救视力和避免眼眶淋巴管瘤的并发症是有用的。
