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Modified vertical lid split orbitotomy: a case series and literature review
Jacqueline H C Tai1, Kenneth K H Lai1, Andrew K T Kuk1
1Department of Ophthalmology, Tung Wah Eastern Hospital, Causeway Bay, Hong Kong.
Orbit (Amsterdam, Netherlands)
|June 3, 2022
Summary
The modified vertical lid split (VLS) technique offers a straightforward approach for removing intraconal orbital lesions. This method provides excellent surgical exposure and favorable cosmetic outcomes, enhancing patient satisfaction.
Area of Science:
- Ophthalmology
- Ophthalmic Surgery
Background:
- Intraconal orbital lesions require precise surgical techniques for effective removal.
- Anterior orbitotomy approaches are crucial for accessing orbital pathologies.
Approach:
- A modified vertical lid split (VLS) technique was employed for anterior orbitotomy.
- Retrospective review of medical records and orbital imaging was conducted for four patients.
Key Points:
- The modified VLS technique facilitated complete excision of intraconal orbital lesions, specifically cavernous hemangiomas.
- All patients reported satisfaction with postoperative cosmetic results.
- Most patients experienced satisfactory postoperative extraocular movements.
Conclusions:
- The modified VLS approach is a simple yet effective technique for intraconal lesion removal.
- This method ensures good intraoperative surgical exposure.
- It offers the added benefit of improved scar camouflage.
