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Published on: May 1, 2015
Orbital lymphaticovenous malformations: Current and future treatments
Nariman Nassiri1, Jack Rootman1, Daniel B Rootman1
1Division of Orbital and Ophthalmic Plastic Surgery, Stein Eye Institute, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, California, USA.
Orbital lymphaticovenous malformations are complex vascular anomalies requiring multidisciplinary management. Future targeted therapies are needed to address their heterogeneous nature and reduce recurrence.
Area of Science:
- Ophthalmology
- Vascular Biology
- Regenerative Medicine
Background:
- Orbital lymphaticovenous malformations (LVMs) are complex vascular anomalies with mixed venous and lymphatic characteristics.
- These lesions pose significant management challenges due to incomplete excision and high recurrence rates.
Purpose of the Study:
- To review the current understanding and management of orbital LVMs.
- To highlight the need for novel therapeutic strategies, including targeted biologic therapies.
Main Methods:
- Literature review of orbital lymphaticovenous malformations.
- Analysis of current surgical and nonsurgical treatment modalities.
- Discussion of potential future therapeutic targets.
Main Results:
- Orbital LVMs exhibit diverse venous and lymphatic endothelial cell characteristics.
- Current treatments like surgery, sclerosants, and liquid polymers have limitations.
- Recurrence is common, and interventions risk damaging adjacent structures.
Conclusions:
- A multidisciplinary approach combining surgical and nonsurgical methods is currently recommended for orbital LVMs.
- Development of targeted antiangiogenic therapies is crucial for effective treatment and reduced regrowth.
- Further research into the angiogenic activities and marker expression profiles of these lesions is warranted.
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