Department of Oculoplastic, Orbital & Lacrimal Surgery, Aichi Medical University Hospital, Nagakute, Aichi, Japan.
Department of Oculoplastic, Orbital & Lacrimal Surgery, Kirtipur Eye Hospital, Kathmandu, Nepal.
Ophthalmic Plast Reconstr Surg. 2022;38(6):e183-e186. doi: 10.1097/IOP.0000000000002237. Epub 2022 Jul 4.
A 34-year-old primigravida woman at 26-week gestation presented with gradually progressive right eye proptosis since the early stage of pregnancy. On the first examination, the right eye had 7 mm proptosis, compared with the left eye. Magnetic resonance images demonstrated enlarged inferior and medial recti muscles with tendon involvement. The results of pathological examination of a specimen harvested from the medial rectus muscle lesion 1 month after the delivery corresponded to an intramuscular cavernous hemangioma. Three months after biopsy, the right eye had a 3-mm reduction in proptosis, and magnetic resonance images showed slight reduction in size of the medial rectus muscle lesion. The maximum diameter of the right medial rectus muscle measured on axial images decreased from 13.13 to 9.38 mm. The patient underwent balanced orbital decompression 8 months after the biopsy. At 9-month post-decompression period, the right eye had 3.5-mm proptosis, and the vision was stable.
一位 34 岁的初产妇，妊娠 26 周时出现逐渐加重的右眼眼球突出，始于妊娠早期。首次检查时，右眼眼球突出 7mm，较左眼明显。磁共振成像显示下直肌和内直肌增粗并累及肌腱。分娩后 1 个月取自内直肌病变的标本的病理检查结果符合肌内海绵状血管瘤。活检后 3 个月，右眼眼球突出度减少 3mm，磁共振成像显示内直肌病变的体积略有缩小。轴向图像上右侧内直肌的最大直径从 13.13mm 减小到 9.38mm。活检后 8 个月，患者接受了平衡式眼眶减压术。减压后 9 个月，右眼眼球突出度为 3.5mm，视力稳定。
