90 likes | 454 Views
Orbital Lymphangioma (Kennerdell Case 3). John S. Kennerdell, MD Chair, Department of Ophthalmology Allegheny General Hospital Professor, Ophthalmology Drexel University College of Medicine. A 52 year-old man who had right proptosis of 4 mm. Orbital Lymphangioma Slide 1/7.
E N D
Orbital Lymphangioma(Kennerdell Case 3) John S. Kennerdell, MD Chair, Department of Ophthalmology Allegheny General Hospital Professor, Ophthalmology Drexel University College of Medicine
A 52 year-old man who had right proptosis of 4 mm. Orbital LymphangiomaSlide 1/7
Patient had diplopia when he looked to the right. Otherwise his visual acuity, color vision, visual fields, and pupillary reactions were normal. Orbital LymphangiomaSlide 2/7
His MRI shows the lesion to be superior and medial to the optic nerve. Orbital LymphangiomaSlide 3/7
The tumor is medial to the optic nerve making it necessary to perform a lateral and medial orbitotomy. Orbital LymphangiomaSlide 4/7
Slide 5 shows the orbital retractor designed by me in position to remove the tumor using the operating microscope. Orbital LymphangiomaSlide 5/7
The tumor with its size noted on the ruler. Orbital LymphangiomaSlide 6/7
Immediate post-operative appearance of the patient who had complete recovery of his extra-ocular movements. Orbital LymphangiomaSlide 7/7
Maroon JC, Kennerdell JS. Lateral microsurgical approach to intraorbital tumors. J Neurosurg. 1976 May;44(5):556-61. Kennerdell JS, Maroon JC. Microsurgical approach to intraorbital tumors. Technique and instrumentation. Arch Ophthalmol. 1976 Aug;94(8):1333-6. Maroon JC, Kennerdell JS. Surgical approaches to the orbit. Indications and techniques. J Neurosurg. 1984 Jun;60(6):1226-35. Kennerdell JS, Maroon JC, Malton ML. Surgical approaches to orbital tumors. Clin Plast Surg. 1988 Apr;15(2):273-82. Reference