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Periorbital intraosseous hemangiomas.

A A Okada, J W Shore, P A Rubin

    International Ophthalmology Clinics
    |January 1, 1992
    PubMed
    Summary

    Periorbital intraosseous hemangiomas are rare bony lesions that can mimic other conditions. Diagnosis and symptoms determine management, with observation for mild cases and surgical excision for uncertain diagnoses or visual compromise.

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    Area of Science:

    • Ophthalmology
    • Oncology
    • Radiology

    Background:

    • Periorbital intraosseous hemangiomas are uncommon tumors.
    • They can cause cosmetic and visual disturbances.
    • Distinguishing them from malignant lesions is crucial.

    Observation:

    • Mildly symptomatic patients with a confident hemangioma diagnosis may be observed.
    • Uncertain diagnoses or visual compromise, like optic nerve compression, warrant surgical intervention.

    Findings:

    • Preoperative angiography is recommended for surgical planning.
    • Embolization before surgery can reduce vascularity.
    • Significant hemorrhage risk exists even with preoperative embolization.

    Implications:

    • Accurate diagnosis is key to appropriate management of periororbital bony lesions.
    • Surgical excision requires careful planning due to potential bleeding.
    • Multidisciplinary evaluation may be necessary for complex cases.

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