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Management of Orbital and Periocular Vascular Anomalies

Stacey, Andrew W. M.D.*; Gemmete, Joseph J. M.D.; Kahana, Alon M.D., Ph.D.*

Ophthalmic Plastic and Reconstructive Surgery: November/December 2015 - Volume 31 - Issue 6 - p 427–436
doi: 10.1097/IOP.0000000000000504
Major Review

Purpose: To review the treatment modalities available to clinicians who treat orbital and periocular vascular anomalies, with a focus on newer approaches.

Methods: The authors’ experience, along with a literature review, was used to provide a concise summary of the available approaches to the treatment of periocular vascular anomalies. Emerging diagnostic tools and therapies are highlighted.

Results: The treatment of orbital and periocular vascular anomalies, including vascular malformations and tumors, increasingly utilizes a multidisciplinary team and a combination of endovascular, percutaneous, and open surgical techniques.

Conclusions: A growing reliance on new instrumentation and tools in a team-oriented approach to treatment may lead to better results with improved visual function and cosmesis and with reduced risk of complications.

Orbital vascular anomalies include both tumors and malformations, and can lead to deformity and vision loss. Successful treatment often requires a multidisciplinary approach that is driven by the diagnosis.

*Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, and Department of Radiology, University of Michigan, Ann Arbor, Michigan, U.S.A.

Accepted for publication April 10, 2015.

The authors have no financial or conflicts of interest to disclose.

Address correspondence and reprint requests to Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan, 1000 Wall St., Ann Arbor, MI 48105. E-mail:

© 2015 by The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., All rights reserved.