| Past Issue | Volume 9, Number 1, February 2007 | | Cavernous Haemangioma of the Orbit: Clinical Presentation and Surgical Outcome |
Rajat Maheshwari
Shri Ganapati Netralaya, Jalna, India
Aim: To analyse the clinical presentation, surgical outcome, and visual prognosis in patients with orbital cavernous haemangioma after removal by the orbital approach.
Methods: This study was a retrospective analysis of 9 patients (5 men and 4 women, aged 4 to 65 years) who underwent surgical removal of orbital cavernous haemangiomas between January 1999 and December 2004. The same surgeon performed the procedure in each patient. Orbital echography and computed tomography were performed preoperatively to establish the extent and location of the tumour. All tumours were removed by lateral, anterior, or medial orbitotomy depending upon their location in the orbit. The excised tumours were subjected to histopathological analysis.
Results: The follow-up period ranged from 6 months to 4 years. Complete removal of the tumour was possible in all 9 patients. Postoperative visual acuity improved, proptosis resolved completely, and overall patient satisfaction was good for all patients.
Conclusion: Clinical examination in combination with radiological investigation is highly recommended for the diagnosis of cavernous haemangiomas. Location of the tumour determines the surgical approach and early surgery results in improvement of visual function. The orbital approach is highly successful for the removal of large extraconal and intraconal haemangiomas within the orbit.
Key words: Cavernous hemangioma, Orbit, Proptosis
Asian J Ophthalmol. 2007;9:23-26.
| | | |
|
