Orbital Venous Malformation Excision after Transcaruncular Embolization with Onyx
Orbital venous malformations are low-flow lesions resulting from vascular dysgenesis during development. Patients may present with vision loss, proptosis accentuated by Valsalva, and/or painful spontaneous thrombosis. The preferred treatment for symptomatic lesions is embolization combined with exci...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Karger Publishers
2023-03-01
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| Series: | Case Reports in Ophthalmology |
| Subjects: | |
| Online Access: | https://www.karger.com/Article/FullText/526830 |
| _version_ | 1827949253292457984 |
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| author | Garrison P. Wier Ryan D. Larochelle Joshua Seinfeld Eric M. Hink |
| author_facet | Garrison P. Wier Ryan D. Larochelle Joshua Seinfeld Eric M. Hink |
| author_sort | Garrison P. Wier |
| collection | DOAJ |
| description | Orbital venous malformations are low-flow lesions resulting from vascular dysgenesis during development. Patients may present with vision loss, proptosis accentuated by Valsalva, and/or painful spontaneous thrombosis. The preferred treatment for symptomatic lesions is embolization combined with excision. A 34-year-old male presented to our institution from an outside emergency department with a diagnosis of presumed idiopathic orbital inflammation. For the prior month, he had been experiencing left orbital pressure, subjective eye bulging, and both diplopia and blurry vision when in peripheral gaze or when bending over. Despite initial improvement with steroids, his symptoms recurred with tapering. Visual acuity was reduced to 20/25, but pupils and motility remained normal. Biopsy demonstrated a vascular lesion characterized by fibroadipose tissue with histologically unremarkable blood vessels, and cerebral arteriography showed no high-flow components. A diagnosis of orbital venous malformation was made. He then underwent intraoperative angiography and Onyx embolization followed by excision via a transcaruncular approach. Two prior reports have described the use of Onyx in venolymphatic malformations. This report highlights a detailed approach to defining flow characteristics pre- and intraoperatively and expands upon our understanding of the use of Onyx for such cases. |
| first_indexed | 2024-04-09T13:08:33Z |
| format | Article |
| id | doaj.art-e3b205bc44714e30a4060fc3900b8453 |
| institution | Directory Open Access Journal |
| issn | 1663-2699 |
| language | English |
| last_indexed | 2024-04-09T13:08:33Z |
| publishDate | 2023-03-01 |
| publisher | Karger Publishers |
| record_format | Article |
| series | Case Reports in Ophthalmology |
| spelling | doaj.art-e3b205bc44714e30a4060fc3900b84532023-05-12T12:24:18ZengKarger PublishersCase Reports in Ophthalmology1663-26992023-03-0114112112610.1159/000526830526830Orbital Venous Malformation Excision after Transcaruncular Embolization with OnyxGarrison P. Wier0Ryan D. Larochelle1Joshua Seinfeld2Eric M. Hink3Jervey Eye Group, Aurora, CO, USADepartment of Ophthalmology, University of Colorado, Aurora, CO, USADepartment of Neurosurgery, University of Colorado, Aurora, CO, USADepartment of Ophthalmology, University of Colorado, Aurora, CO, USAOrbital venous malformations are low-flow lesions resulting from vascular dysgenesis during development. Patients may present with vision loss, proptosis accentuated by Valsalva, and/or painful spontaneous thrombosis. The preferred treatment for symptomatic lesions is embolization combined with excision. A 34-year-old male presented to our institution from an outside emergency department with a diagnosis of presumed idiopathic orbital inflammation. For the prior month, he had been experiencing left orbital pressure, subjective eye bulging, and both diplopia and blurry vision when in peripheral gaze or when bending over. Despite initial improvement with steroids, his symptoms recurred with tapering. Visual acuity was reduced to 20/25, but pupils and motility remained normal. Biopsy demonstrated a vascular lesion characterized by fibroadipose tissue with histologically unremarkable blood vessels, and cerebral arteriography showed no high-flow components. A diagnosis of orbital venous malformation was made. He then underwent intraoperative angiography and Onyx embolization followed by excision via a transcaruncular approach. Two prior reports have described the use of Onyx in venolymphatic malformations. This report highlights a detailed approach to defining flow characteristics pre- and intraoperatively and expands upon our understanding of the use of Onyx for such cases.https://www.karger.com/Article/FullText/526830onyxembolizationorbital tumorvenous malformationvarix |
| spellingShingle | Garrison P. Wier Ryan D. Larochelle Joshua Seinfeld Eric M. Hink Orbital Venous Malformation Excision after Transcaruncular Embolization with Onyx Case Reports in Ophthalmology onyx embolization orbital tumor venous malformation varix |
| title | Orbital Venous Malformation Excision after Transcaruncular Embolization with Onyx |
| title_full | Orbital Venous Malformation Excision after Transcaruncular Embolization with Onyx |
| title_fullStr | Orbital Venous Malformation Excision after Transcaruncular Embolization with Onyx |
| title_full_unstemmed | Orbital Venous Malformation Excision after Transcaruncular Embolization with Onyx |
| title_short | Orbital Venous Malformation Excision after Transcaruncular Embolization with Onyx |
| title_sort | orbital venous malformation excision after transcaruncular embolization with onyx |
| topic | onyx embolization orbital tumor venous malformation varix |
| url | https://www.karger.com/Article/FullText/526830 |
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