Selective embolization and resection of a large noninvoluting congenital hemangioma of the lower eyelid

Ophthalmic Plast Reconstr Surg. 2009 Mar-Apr;25(2):111-4. doi: 10.1097/IOP.0b013e318199dba5.

Abstract

Purpose: To present a combined interventional radiologic and resection technique for the management of a large amblyogenic, highly vascular lesion of the lower eyelid associated with severe mechanical ectropion, conjunctival pyogenic granuloma, and recurrent, spontaneous conjunctival bleeding.

Methods: Preoperative selective embolization and coil placement were followed by resection of the tumor.

Results: Embolization, coil placement, and resection were uneventful with cosmetic and functional visual improvement obtained. Pathology indicated a noninvoluting congenital hemangioma.

Conclusions: To the authors' knowledge, this is the first surgical technique reported in the ophthalmic literature for the selective embolization of a noninvoluting congenital hemangioma prior to its resection. Such a technique should be considered in the management of large lesions of this type.

Publication types

  • Case Reports

MeSH terms

  • Cerebral Angiography
  • Child
  • Embolization, Therapeutic* / instrumentation
  • Embolization, Therapeutic* / methods
  • Eyelid Neoplasms / congenital*
  • Eyelid Neoplasms / diagnosis
  • Eyelid Neoplasms / surgery*
  • Female
  • Hemangioma / congenital*
  • Hemangioma / diagnosis
  • Hemangioma / surgery*
  • Humans
  • Magnetic Resonance Imaging
  • Preoperative Care*
  • Tomography, X-Ray Computed
  • Ultrasonography, Doppler