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CLINICAL IMAGE
Year : 2020  |  Volume : 152  |  Issue : 7  |  Page : 101-102

Conjunctival lymphatico-venous malformation


Ophthalmic Plastic & Facial Aesthetic Surgery Services, L.V. Prasad Eye Institute, Hyderabad 500 034, Telangana, India

Date of Submission19-Nov-2019
Date of Web Publication25-May-2021

Correspondence Address:
Tarjani Vivek Dave
Ophthalmic Plastic & Facial Aesthetic Surgery Services, L.V. Prasad Eye Institute, Hyderabad 500 034, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijmr.IJMR_2167_19

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How to cite this article:
Wagh RD, Dave TV. Conjunctival lymphatico-venous malformation. Indian J Med Res 2020;152, Suppl S1:101-2

How to cite this URL:
Wagh RD, Dave TV. Conjunctival lymphatico-venous malformation. Indian J Med Res [serial online] 2020 [cited 2021 Aug 4];152, Suppl S1:101-2. Available from: https://www.ijmr.org.in/text.asp?2020/152/7/101/316758

Consent to publish clinical information and images obtained from the patient's parent.


A six yr old male child presented to the Oculoplasty Service at L.V. Prasad Eye Institute, Hyderabad, India, in November 2018, with right proptosis, a multinodular peri-punctal lesion, chemosis [Figure 1]A and dilated, tortuous, branching vessels in the superotemporal quadrant [Figure 1]B. The lesion was hemodynamically isolated to the right orbit and a diagnosis of right lymphatico-venous malformation was made. Imaging revealed ill-defined, micro- and macro-cystic lesions, hyperintense on T2 in the right orbit, temple and cheek [Figure 1]C and [Figure 1]D. Bleomycin sclerotherapy (5 IU) in orbit and sub-conjunctival space was performed. One month follow up visit revealed resolution of the orbital, eyelid and conjunctival components [Figure 1]E and [Figure 1]F.
Figure 1: Presenting features, imaging findings and post sclerotherotherapy images of a lymphatico-venous malformation. (A) Mild proptosis, multinodular peripunctal lesion, chemosis and diffuse sub-conjunctival haemorrhage inferiorly. (B) Dilated tortuous and branching vessels in the superotemporal quadrant. (C) Ill-defined hyperintense lesions in the right temple (*), cheek (†) and orbit (#). (D) Antero-posterior extent is from the preseptal region to the orbital apex (#). (E) Decrease of orbital disease and eyelid disease. (F) Complete resolution of the conjunctival component.

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Subconjunctival bleomycin injection is a minimally invasive approach in treating the diffuse, extremely vascular and difficult to resect conjunctival component of lymphatico-venous malformation, without associated conjunctival fibrosis.

Conflicts of Interest: None.


    Figures

  [Figure 1]



 

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