Dual Therapy in A Refractory Case of Cavernous Haemangioma of The Orbit

Dr Nischala Balakrishna (1) , Dr Seema Channabasappa (2) , Dr Sheetal V Girimallanavar (3)
(1) Department of Ophthalmology, Vydehi Institute of Medical Sciences and Research Centre Bangalore , India
(2) Department of Ophthalmology, Vydehi Institute of Medical Sciences and Research Centre Bangalore , India
(3) Department of Ophthalmology, Vydehi Institute of Medical Sciences and Research Centre Bangalore , India

Abstract

Introduction:
Cavernous haemangiomas are common benign
orbital tumours. We report a case where combined treatment
using intralesional sclerosants followed by argon laser excision
of the tumour was done.
Case report:
A 19
-
year
-
old girl presented with a swelling of the
right upper lid of 9 years duration causing mechanical ptosis. It
was reducible, fluctuant and non
-
pulsatile. Skin over the swelling
was pinchable with no engorged veins. CT scan showed a
cir
cumscribed no enhancing lesion in the anterolateral part of
orbital cavity extending to the extraconal compartment
suggestive of cavernous haemangioma. Sodium Tetradecyl
sulphate was given intralesional under ultrasound guidance over
1 year. Residual mass
was excised surgically using diode laser.
Histopathology favoured cavernous haemangioma.
Conclusion:
The dual therapy in the treatment of orbital
haemangioma involving the upper lid is beneficial
therapeutically
and cosmetically due to acceptable aestheti
c and functional
outcomes.

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Authors

Dr Nischala Balakrishna
nischalabalakrishna@gmail.com (Primary Contact)
Dr Seema Channabasappa
Dr Sheetal V Girimallanavar
Balakrishna, D. N. ., Channabasappa, D. S. ., & Girimallanavar, D. S. V. . (2022). Dual Therapy in A Refractory Case of Cavernous Haemangioma of The Orbit. Journal of Medical Case Reports and Reviews, 3(02). Retrieved from https://jmcrr.info/index.php/jmcrr/article/view/69
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