Orbital lymphatic-venous malformation: A Review on the Management Strategies

Authors

  • Syeed Mehbub Ul Kadir Assistant Professor, Sheikh Fazilatunnesa Mujib Eye Hospital and Training Institute, Gopalganj
  • Sadia Sultana Associate Professor, Ispahani Islamia Eye Hospital and Institute, Dhaka, Bangladesh
  • Nishat Parveen Associate Professor, National Institute of Ophthalmology and Hospital, Dhaka, Bangladesh
  • Riffat Rashid Associate Professor, Ispahani Islamia Eye Hospital and Institute, Dhaka, Bangladesh
  • Rajendra Prakash Maurya Associate Professor, RIO, IMS, Banaras Hindu University, Varanasi
  • Golam Haider Professor, Bangladesh Eye Hospital and Institute, Dhaka

DOI:

https://doi.org/10.3329/jnio.v5i2.66792

Keywords:

Orbital lymphatic-venous, Management Strategies

Abstract

Still, there is no ideal guideline for managing orbital lymphatic-venous malformations. Significant advances have been made in the treatment of lymphatic-venous malformation. Here, we attempt to review the current and recent evidence on management strategies, including sclerotherapy agents, systemic medications, and techniques. The orbital lymphatic-venous malformation is notorious for being very difficult to treat due to risks of morbidity, loss of vision and periocular disfigurement. Management depends on lymphangioma size, cyst type, and location. One option is carefully watching patients without doing any treatment (Observation). The option of surgery has typically been delayed until necessary because of the high recurrence rate, a high risk of morbidity because of injury to the globe, extraocular muscles, vessels, and optic nerve, and it is difficult to remove the entire lesion. Sclerotherapy is famous for reducing the size of orbital lymphangioma. Systemic medication can reduce the size and improve the clinical symptoms where the lesions are difficult to access surgically or with injections. These treatment modalities aim to reduce the size of the lesions, and cosmetic disfigurement and free from pain caused by these lesions, also avoid vision_threatening complications.

J. Natl. Inst. Ophthalmol. 2022; 5(2):45-51

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Published

2022-06-18

How to Cite

Ul Kadir, S. M. ., Sultana, S., Parveen, N. ., Rashid, R., Maurya, R. P., & Haider, G. (2022). Orbital lymphatic-venous malformation: A Review on the Management Strategies. Journal of National Institute of Ophthalmology, 5(2), 45–51. https://doi.org/10.3329/jnio.v5i2.66792

Issue

Section

Review Article