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자료유형
학술저널
저자정보
우영준 (연세대학교) 김창염 (연세대학교) Bradford Sgrignoli (Department of Ophthalmology Saint John’s Episcopal Hospital Far Rockaway NY USA) 윤진숙 (연세대학교)
저널정보
대한안과학회 Korean Journal of Ophthalmology Korean Journal of Ophthalmology 제31권 제3호
발행연도
2017.6
수록면
194 - 201 (8page)

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Purpose: To report the patient characteristics and treatment outcomes in 12 cases of orbital lymphangioma. Methods: In this study, orbital lymphangioma was diagnosed based on clinical, radiologic (computed tomography,magnetic resonance imaging), and histologic findings when possible. Patients whose vision was notcompromised by orbital lymphangioma, or that did not have increased intraocular pressure (IOP), receivedoral corticosteroids. Orbital lymphangioma that affected vision or increased IOP was treated by surgery, whichincluded aspiration of blood or partial resection with or without injection of a sclerosant. Results: Four patients without compromised vision responded well to oral corticosteroids. Eight patients withcompromised vision underwent some form of surgery. Bleeding recurred in three patients after aspiration ofblood and in two after partial resection and intralesional injection of a sclerosant. Overall, five patients weretreated successfully by aspiration of blood, intralesional injection of a sclerosant, and application of continuousnegative pressure by appropriate drainage. Partial resection was successful in two patients with organized hematoma. Conclusions: Orbital lymphangioma that does not compromise vision can be treated medically using oral corticosteroids. Patients with threatened vision or elevated IOP due to acute hemorrhage should be treated by aspirationof blood, intralesional injection of a sclerosant, and application of continuous negative pressure. Partialresection may be effective only in patients with organized hematoma.

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