Cavernous Hemangioma of the Orbit and Its Impact on Orbital Fat
https://doi.org/10.18008/1816-5095-2017-1-53-58
Abstract
The most common representative of primary tumors is a cavernous hemangioma of the orbit, which can lead to the disorder of functions of an eye and a cosmetic defect. The literature has repeatedly described the clinical picture of patients with cavernous hemangioma, their CT semiotics, hemangiomasintercourse with orbital structures. However, there is no data about the effect of the tumor on the state of the orbital fat.
The purpose — to study structural features of cavernous hemangiomaand toundertake a study of state of the orbital fat, depending on the size of tumors.
Patients and methods. We studied 36 patients with cavernous hemangioma of the orbit. CT scans were performed according to standard procedures to give axial and frontal slices. Volumetric soft tissues of the orbit indicators obtained after the construction of three-dimensional models. Originally built a three-dimensional reconstruction of the osseous orbit outside the orbit's part of the eye, and then — a muscular channel and soft tissue reconstruction unit (extraocular muscles, the optic nerve, lacrimal gland and eyes). We calculate the orbit of the eye and orbital fat. The volume of the orbital part of the eye obtained by subtracting the volume of the volume of its eyes outside the orbit’s part. The amount of fiber internal surgical space obtained by subtracting from the muscular channel volume of extraocular muscles and optic nerve. Control in all cases was a healthy contralateral orbit.
Results and discussion. It was found that an increase in the volume of tumors occurssubatrophy of orbital fat. In patients with smallhemangiomas the amount of orbital fat is reduced by about 0.5 cm3, in patients with an average hemangiomasthe amount of orbital fat is retracted more than 1 cm3. The most prominent orbital fat atrophy in theorbitlocalization of large cavernous hemangiomas (on 2,88±0.09 cm3).
Conclusions. An increase in the size of cavernous hemangioma leading to its structural changes, and the development of orbital fatsubatrophy.
About the Author
O. Yu. Yatsenko
Department of Ophthalmology of Russian Medical Academy of Postgraduate Education
Russian Federation
Russian Federation
MD, assistant professor of Ophthalmology Department,
Barrikadnaya street, 2/1, Moscow, 125993
References
1. Brovkina A.F. [Ophthalmoonkology]. Oftal'moonkologiya. Moscow.2002. p. 424.
2. Muller-Forell W., Pitz S. Orbital pathology. Eur. J. Radiology. 2004;49(2):105-142.
3. Shields J.A., Shields C.L., Scartozzi R. Survey of 1264 patients with orbital tumors and simulating lesions: The 2002 Montgomery Lecture, part 1. Ophthalmology. 2004;111(5):997-1008.
4. Lipowski P., Raczyńska K., Murawska J., Iwaszkiewicz-Bilikiewicz B. Orbital tumors in the material of Department of Ophthalmology of Medical University of Gdańsk in years 1991 — 2002. Klin. Oczna. 2004;106(3):460-462.
5. Margalit N., Ezer H., Fliss D.M., Naftaliev E., Nossek E., Kesler A. Orbital tumors treated using transcranial approaches: surgical technique and neuroophthalmogical results in 41 patients. Neurosurg. Focus. 2007;23(5):11. doi 10.3171/2010.6.FOCUS101254a..
6. Ohtsuka K., Hashimoto M., Suzuki Y. A review of 244 orbital tumors in Japanese patients during a 21-year period: origins and locations. Jpn. J. Ophthalmol. 2005;49(1):49-55. DOI:10.1007/s10384-004-0147-y
7. Shikishima K., Kawai K., Kitahara K. Pathological evaluation of orbital tumours in Japan: analysis of a large case series and 1379 cases reported in the Japanese literature. Clin. Experiment. Ophthalmol. 2006;34(3):239-244. DOI:10.1007/s10384-004-0147-y
8. Kashkouli M.B., Imani M., Tarassoly K., Kadivar M. Multiple cavernous hemangiomas presenting as orbital apex syndrome. Ophthal. Plast. Reconstr. Surg. 2005;21(6):461-63.
9. Rosca T.I., Pop M.I., Curca M., Vladescu T.G., Tihoan C.S., Serban A.T., Bontas E.A., Gherghescu G. Vascular tumors in the orbit — capillary and cavernous hemangiomas. Ann. Diagn. Pathol. 2006;10(1):13-19. DOI: 10.1016/j.anndiagpath.2005.07.008
10. Meena M., Naik M., Honavar S. Acute recurrence of orbital cavernous hemangioma in a young man: a case report. Ophthal. Plast. Reconstr. Surg. 2012;28(4):93-95.
11. Yan J., Li Y., Wu Z. Orbital cavernous hemangioma with bone erosion. Graefes Arch. Clin. Experiment. Ophthalmol. 2006;244(11):1534-1535. DOI: 10.1007/s00417-005-0188-z
12. Yan J., Wang X. Cavernous hemangioma with rapidly developing proptosis. Int. Ophthalmol. 2008;28(2):125-126. DOI:10.1007/s10792-007-9115-0
13. Yan J., Wu Z. Cavernous hemangioma of the orbit: analysis of 214 cases. Orbit 2004;23(1):33-40. DOI:10.1076/orbi.23.1.33.28992
14. Meyer M.W., Hahn C.H. Intraosseous cavernous haemangioma of the bony orbit. Ugkr Laаger. 2011;173(5):360-361. DOI: 10.1111/j.1445-2197.1985.tb00085.x
15. Gabdrakhmanova A.F., Altynbaeva L.R. [The first experience of radionuclide study using single photon emission computed tomography in the diagnosis of tumors of the orbit]. Pervyy opyt primeneniya ra-dionuklidnogo issledovaniya s pomoshch'yu odnofotonnoy emissionnoy komp'yuternoy tomografii v diagnostike novoobrazovaniy orbity. [Annals of Ophthalmology]. Vestnik oftal'mologii. 2008;4:39-41. (in Russ.).
16. Brovkina A.F., Karmazanovskiy G.G., Yatsenko O.Yu. [The amount of bone soft tissue of the orbit and its contents are normal]. Ob»em kostnoy orbity i ee myagkotkannogo soderzhimogo v norme. [Medical imaging]. Meditsinskaya vizualizatsiya. 2006;6: 94-98.
17. Brovkina A.F., Karmazanovskiy G.G., Yatsenko O.Yu., Moslekhi Sh. [The condition of the optic nerve with edematous exophthalmos complicated optic neuropathy (CT study data)]. Sostoyanie zri-tel'nogo nerva pri otechnom ekzoftal'me oslozhnennom opticheskoy neyropatiey (dannye KT issledovaniya). [Medical imaging]. Meditsinskaya vizualizatsiya. 2008;3:74-77. (in Russ.).
18. Malhotra A., Minja F.J., Crum A., Burrowes D. Ocular anatomy and cross-sectional imaging of the eye. Semin. Ultrasound. CT MRI. 2011;32(1):2-13. DOI:10.1053/j.sult.2010.10.009
19. Brovkina A. F., Yatsenko O.Yu., Aubakirova A. S. [The method of calculating orbital fat volume was removed under decompression operation in patients with endocrine ophthalmopathy]. Metodika rascheta ob»ema orbi-tal'noy kletchatki, udalyaemoy pri dekompressivnoy operatsii u bol'nykh endok-rinnoy oftal'mopatiey. [Annals of Ophthalmology]. Vestnik oftal'mologii. 2009;125( 3): 24-26. (in Russ.).
Review
For citations:
Yatsenko O.Yu. Cavernous Hemangioma of the Orbit and Its Impact on Orbital Fat. Ophthalmology in Russia. 2017;14(1):53-58. (In Russ.) https://doi.org/10.18008/1816-5095-2017-1-53-58
Views:
12733
Email this article 