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[Intraorbital cavernous hemangiomas: symptoms, diagnostics and surgical approaches]
E Bertelmann1, C Hartmann, N Minko
1Augenklinik, Charité Campus Virchow Klinikum, Augustenburger Platz 1, Berlin. eckart.bertelmann@charite.de
Klinische Monatsblatter Fur Augenheilkunde
|January 21, 2011
Summary
Ophthalmological approaches, including lateral orbitotomy and swinging eyelid techniques, are effective and low-risk for resecting orbital cavernous hemangiomas. These methods preserve visual acuity and motility while resolving proptosis.
Area of Science:
- Ophthalmology
- Neurosurgery
- Surgical Oncology
Background:
- Orbital cavernous hemangiomas are common benign orbital tumors.
- Surgical options include transnasal, transcranial, transantral, and ophthalmological approaches.
- This study focuses on ophthalmological resection of orbital hemangiomas.
Purpose of the Study:
- To evaluate the efficacy and safety of ophthalmological approaches for orbital cavernous hemangioma resection.
- To analyze surgical outcomes including visual acuity, eye motility, and globe position.
Main Methods:
- Retrospective analysis of 10 patients with orbital cavernous hemangiomas treated between 2005 and 2010.
- Resection performed via lateral orbitotomy (4 cases) or swinging eyelid approach (6 cases).
- Assessment of pre- and postoperative visual acuity, visual field, eye motility, and complications.
Main Results:
- All 10 intraorbital hemangiomas were successfully resected.
- 7 tumors were intraconal, 3 were extraconal.
- No changes in visual acuity, visual field, or motility were observed postoperatively. Preoperative exophthalmos resolved completely.
Conclusions:
- Lateral orbitotomy and swinging eyelid approaches are suitable for orbital cavernous hemangioma resection.
- These ophthalmological techniques offer a low-risk surgical option.
- The procedures effectively manage orbital cavernous hemangiomas with favorable outcomes.
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