| Title | Diagnosis and treatment of orbital hemorrhagic lesions. | | Author(s) | Polito E, Leccisotti A | | Institution | Department of Ophthalmology and Neurosurgery, University of Siena, Italy. | | Source | Ann Ophthalmol 1994 May-Jun; 26(3):85-93. | | MeSH | Adolescent
Adult
Aged
Child
Female
Hemorrhage
Humans
Infant
Magnetic Resonance Imaging
Male
Middle Aged
Orbit
Orbital Diseases
Tomography, X-Ray Computed
| | Abstract | Orbital hemorrhagic lesions include a group of heterogeneous conditions that may be idiopathic or caused by trauma, surgery, or preexisting vascular tumors or malformations. We report clinical, computed tomographic, and magnetic resonance imaging features of eight cases of orbital hemorrhage (2 cystic lymphangiomas, 2 subperiosteal hematomas, 1 traumatic hematoma, 1 hemorrhagic varix, 1 cholesterol granuloma, and 1 postsurgical hemosiderin deposit). The differential diagnosis of orbital hemorrhagic lesions may be difficult because of their relative rarity and nonspecific presentation. In particular, on computed tomography, cholesterol granulomas may simulate a lacrimal gland epithelial tumor and subperiosteal hematomas, a lymphoid tumor. Magnetic resonance imaging is an ideal imaging technique because of its ability to identify blood and blood products in all stages of degradation. Treatment can be limited to observation in varices, lymphangiomas, and trauma if vision is not threatened; otherwise, surgical blood drainage should be attempted. Cholesterol granulomas are best treated by curettage through an extraperiosteal orbitotomy. For subperiosteal acute or subacute hemorrhages, surgical drainage is recommended if the blood is not spontaneously reabsorbed within a few weeks. | | Language | eng | | Pub Type(s) | Case Reports
Journal Article
| | PubMed ID | 7944161 |
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