Leelawongs Sasikant, Krungkraipetch Luksanaporn
Department of Ophthalmology, Faculty of Medicine, Burapha University, Chon Buri, Thailand.
Case Rep Ophthalmol. 2024 Jul 25;15(1):577-584. doi: 10.1159/000540126. eCollection 2024 Jan-Dec.
A simple orbital lymphatic malformation usually presents with acute proptosis with ophthalmoplegia after an upper respiratory tract infection. Various treatments have been described but the lesions often recur after treatment due to their infiltrative nature.
A 6-year-old girl presented with a 5 × 10 mm translucent mass in the left inferior fornix for 3 years but she denied diplopia and visual disturbance. Orbital computed tomography with contrast emphasized the clinical findings, a nonseptated cystic lesion without enhancement in the anterior orbit. The lesion was surgically totally excised. Histopathological findings revealed an endothelial lining cyst without intraluminal cells consistent with a lymphatic malformation. In a 1-year follow-up, the lesion does not recur.
The simple orbital lymphatic malformation can present as a single nonseptate cystic lesion. Pathological study should be done for the definitive diagnosis. Surgical excision can achieve a favorable outcome.
单纯性眼眶淋巴管瘤通常在上呼吸道感染后出现急性眼球突出伴眼球运动障碍。已有多种治疗方法被描述，但由于其浸润性，病变在治疗后常复发。
一名6岁女孩左眼下穹窿部有一个5×10毫米的半透明肿物，已存在3年，但她否认有复视和视力障碍。眼眶增强计算机断层扫描突出了临床发现，即前眼眶有一个无分隔的囊性病变，无强化。该病变通过手术完全切除。组织病理学检查结果显示为一个无腔内细胞的内皮衬里囊肿，符合淋巴管瘤。在1年的随访中，病变未复发。
单纯性眼眶淋巴管瘤可表现为单个无分隔的囊性病变。应进行病理研究以明确诊断。手术切除可取得良好效果。
