Mukherjee Bipasha, Vijay Vathsalya, Halbe Swatee
Orbit, Oculoplasty, Reconstructive and Aesthetic Services, Sankara Nethralaya, Medical Research Foundation, Chennai, Tamil Nadu, India.
Department of Interventional Radiology, Apollo Specialty Hospitals, Chennai, Tamil Nadu, India.
Indian J Ophthalmol. 2018 Jan;66(1):151-154. doi: 10.4103/ijo.IJO_663_17.
Periorbital arteriovenous malformations (AVMs) are congenital lesions that may cause significant morbidity such as amblyopia, cosmetic disfigurement, or chronic pain. Due to the rarity of these lesions, they are frequently misdiagnosed and treated inappropriately. We managed a 6-year-old girl with preseptal AVM by endovascular embolization followed by complete surgical excision after 2 days. She was previously diagnosed as capillary hemangioma and was being treated with intralesional steroid injections and oral propranolol. Neuroimaging revealed an AVM fed by the branches of both external and internal carotid arteries and drained by the superior ophthalmic vein. Endovascular embolization with glue followed by complete surgical excision of the lesion was done. The resultant cosmetic and functional outcome was gratifying. Diagnosis and management of periorbital AVM remain a challenge requiring a multidisciplinary approach involving interventional radiologist and trained oculoplastic surgeons. Combined endovascular embolization followed by surgical excision proved safe and effective.
眶周动静脉畸形（AVM）是先天性病变，可导致严重的发病情况，如弱视、容貌毁损或慢性疼痛。由于这些病变罕见，它们经常被误诊并接受不恰当的治疗。我们通过血管内栓塞治疗了一名6岁患有眶隔前AVM的女孩，2天后进行了完整的手术切除。她之前被诊断为毛细血管瘤，一直在接受瘤内注射类固醇和口服普萘洛尔治疗。神经影像学显示一个由颈内动脉和颈外动脉分支供血、眼上静脉引流的AVM。进行了胶水血管内栓塞，随后对病变进行了完整的手术切除。最终的美容和功能效果令人满意。眶周AVM的诊断和管理仍然是一项挑战，需要介入放射科医生和训练有素的眼整形外科医生的多学科方法。血管内栓塞联合手术切除被证明是安全有效的。
