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Updated: Jun 13, 2026

Surgical Treatment of an Endolymphatic Sac Tumor

Surgical Treatment of an Endolymphatic Sac Tumor

Published on: May 26, 2023

[Orbital lymphangioma: case report].

Filipe José Pereira¹, Sabrina de Pellegrini Trindade, Antonio Augusto Velasco e Cruz

¹Departamento de Plástica Ocular, Hospital Governador Celso Ramos - Florianópolis (SC) - Brasil. filipeccpo@uol.com.br

Arquivos Brasileiros De Oftalmologia

|May 14, 2010

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Orbital lymphangioma, a rare vascular tumor, can cause vision loss and proptosis in children. Surgical excision and aspiration provided treatment for this challenging orbital lesion.

Area of Science:

Ophthalmology
Pediatric Oncology
Vascular Malformations

Background:

Orbital lymphangiomas are benign vascular tumors that can present with significant ocular morbidity.
Diagnosis and management can be challenging due to their infiltrative nature and potential for complications.

Observation:

A 9-year-old female presented with proptosis, restricted ocular motility, pain, and vision loss secondary to compressive optic neuropathy.
Magnetic resonance imaging (MRI) revealed an expansive, non-infiltrating cystic lesion in the extraconal space of the right orbit with intralesional hemorrhage.
Initial steroid treatment was ineffective.

Findings:

A transconjunctival puncture and aspiration of 35 ml of hemorrhagic fluid was performed.
Intralesional hemorrhage led to exacerbation of symptoms, including pain and increased proptosis.

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Last Updated: Jun 13, 2026

Surgical Treatment of an Endolymphatic Sac Tumor

Surgical Treatment of an Endolymphatic Sac Tumor

Published on: May 26, 2023

Surgical excision via a lateral cutaneous approach, including lateral canthotomy and orbital wall decompression, combined with a transconjunctival approach, was utilized.

Implications:

Orbital lymphangioma management requires a multidisciplinary approach, often involving surgical intervention.
Despite treatment, lymphangiomas pose challenges due to potential visual and cosmetic complications and recurrence.
Early diagnosis and appropriate management are crucial to prevent irreversible visual impairment.