Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota.
Department of Ophthalmology, Mayo Clinic, Rochester, Minnesota.
Am J Ophthalmol. 2014 Feb;157(2):447-450.e1. doi: 10.1016/j.ajo.2013.10.011. Epub 2013 Nov 1.
To report a series of 4 recurrent orbital varices after resection, 2 of which were embolized with cyanoacrylate glue before surgery.
Retrospective case series.
Charts of all patients seen by a single orbital surgeon from January 1986 through June 2013 with presumed or histologically confirmed orbital varix were reviewed retrospectively. Four patients were identified with recurrence of symptoms after resection of the varix, 2 after embolization with n-butyl cyanoacrylate and 2 via a right frontal craniotomy. Each had initial complete resolution of their symptoms followed by recurrence to a lesser degree. Characteristics and common features in each case were reviewed.
After initial resection, these 4 patients had recurrence of their symptoms within 8 months to 12 years. A common feature among them included an active lifestyle involving significant heavy lifting.
Orbital varices may be recurrent, even after n-butyl cyanoacrylate embolization, with repeated Valsalva-type maneuvers.
报告 4 例复发性眼眶静脉瘤，其中 2 例在手术前曾用氰基丙烯酸酯胶栓塞。
回顾性病例系列。
对 1986 年 1 月至 2013 年 6 月间由一位眼眶外科医生诊治的所有疑似或经组织学证实为眼眶静脉瘤的患者的病历进行回顾性分析。共发现 4 例患者在切除静脉瘤后出现症状复发，其中 2 例在使用正丁基氰基丙烯酸酯栓塞后复发，2 例通过右额开颅手术复发。最初，这些患者的症状完全缓解，然后症状再次出现，但程度较轻。回顾了每个病例的特征和共同特征。
这 4 例患者在初始切除后 8 个月至 12 年内出现症状复发。它们之间的一个共同特征是患者都过着积极的生活方式，包括大量重物搬运。
即使在使用正丁基氰基丙烯酸酯栓塞后，眼眶静脉瘤也可能复发，特别是在反复发生瓦氏动作时。
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