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Orbital vascular lesions: review of three years of clinical practice

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Session Details

Session Title: Presented Poster Session: Infections & Syndromes

Venue: Poster Village: Pod 3

First Author: : A.Pedrosa PORTUGAL

Co Author(s): :    V. Leal   A. Sousa Pina   C. Sousa   S. Costa   F. Falcao-Reis           

Abstract Details


To review surgically treated orbital vascular lesions at the Ophthalmology Department of a tertiary center.


Department of Ophthalmology, S. João Hospital, Porto, Portugal.


All patients who underwent orbital surgery at the Department of Ophthalmology of S. João Hospital between September 1st 2014 and August 31st 2017 were retrospectively reviewed. Those with orbital vascular lesions, confirmed by histopathological examination, were selected.


During the three-year study period, six patients underwent surgery due to orbital vascular lesions. The most frequent was cavernous hemangioma (four cases), followed by lymphangioma (one case) and orbital varix (one case). Cavernous hemangiomas affected mainly women (75%) and the intraconal compartment (75%). On the other hand, the lymphangioma infiltrated the intraconal and extraconal compartments, as well as the pre-septal region. The most common complaint was lid edema for extraconal lesions and reduced vision for intraconal ones. An anterior surgical approach was used successfully in all cases, either through an upper lid crease incision or an inferior fornix conjunctival incision.


In our review, cavernous hemangioma was the most common surgically treated, orbital vascular lesion. Eyelid edema and reduced vision were the most frequent complaints at presentation. All lesions were successfully treated through anterior orbitotomy.

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