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Chapter-58 Pediatric Orbital Vascular Tumors

BOOK TITLE: Surgical Techniques in Ophthalmology (Pediatric Ophthalmic Surgery)

Author
1. Moreker Sunil
2. Kirtane Milind
3. Kataria Sneha
4. Lala Murad
ISBN
9789350251485
DOI
10.5005/jp/books/11282_58
Edition
1/e
Publishing Year
2011
Pages
7
Author Affiliations
1. PD Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, India, PD, Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, India, PD, Hinduja National Hospital and Medical Research Centre Veer Savarkar Marg, Mahim Mumbai, PD Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai-400 016, India, PD Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India, PD Hinduja National Hospital and Medical Research Centre, New Bombay, Dr RP Centre for Ophthalmic Sciences, AIIMS, Ansari Nagar, New Delhi, India
2. PD Hinduja National Hospital and MRC, Veer Savarkar Marg, Mahim, Mumbai, India, Mumbai, Maharashtra, India
3. New England College of Optometry, Boston, USA, OD Class 2012, New England College of Optometry, Boston, USA, New England College of Optometry Boston, USA
4. PD, Hinduja National Hospital and Medical Research Centre, Veer Savarkar Marg, Mahim, Mumbai, India, PD Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
Chapter keywords

Abstract

Cavernous hemangiomas of the orbit are benign vascular growths that commonly occur more in adult’s and account for 6% of all intraorbital tumors. Hemangiomaand venous lymphatic malformation is also common orbital vascular lesions that occur in the pediatric population. Epithelioid hemangioma, or angiolymphoid hyperplasia with eosinophilia, is a benign vascular lesion that rarely occurs. The common clinical manifestations are visual loss, diplopia, headache, numbness around the face and paresis of the extraocular muscles. Ultrasonography and color Doppler imaging are useful modalities in the diagnosis of intraorbitaland periorbital tumors in the pediatric age group. Factors affecting treatment areage of the child, tumor histology, and location of the tumor, clinical and functional impact. Conservative surgery can be offered for poorly demarcated orbital cavernous hemangiomas as they generallyhave a very benign clinical course and the postoperativesequelae may be more traumatizing. Combined surgical treatment of progressive capillary hemangiomas by using cryosurgery and surgicalexcision in infants depends on features and clinical picture in each individual case.

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