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Orbital lymphangiomas: a review of management strategies

Saha, Konala; Leatherbarrow, Brianb

Current Opinion in Ophthalmology: September 2012 - Volume 23 - Issue 5 - p 433–438
doi: 10.1097/ICU.0b013e3283560a99
OCULOPLASTIC AND ORBITAL SURGERY: Edited by Richard C. Allen
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Purpose of review Orbital lymphangiomas present a difficult management problem for the ophthalmologist. This review offers a strategy for managing the condition.

Recent findings There have been recent publications discussing the use of intralesional fibrin glue to aid dissection and intralesional sclerosant to shrink the lesion. We discuss the evidence for these treatments and present a case in which these treatments were combined.

Summary This review highlights the classification and presents management options for orbital lymphangioma. We encourage a holistic and individualized approach to the patients, recognizing the variety of clinical manifestations that the condition can cause. In the event of surgical excision, we present the evidence for the use of intralesional fibrin glue and intralesional sclerosant, and describe using both in the same case.

aOculoplastic and Craniofacial Service, Chelsea and Westminster Hospital, London

bOculoplastic and Orbital Service, Manchester Royal Eye Hospital, Manchester, UK

Correspondence to Mr. Brian Leatherbarrow, Manchester Royal Eye Hospital, Oxford Road, M13 9WL Manchester, UK. Tel: +44 161 276 1234; e-mail: brianleatherbarrow@btinternet.com

© 2012 Lippincott Williams & Wilkins, Inc.