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

Kenneth G.J. Ooi, Jason D. Wenderoth, Ian C. Francis, Geoffrey A. Wilcsek

Research output: Contribution to journalArticle

5 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)111-114
Number of pages4
JournalOphthalmic plastic and reconstructive surgery
Volume25
Issue number2
DOIs
Publication statusPublished - Mar 2009

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