Diagnosis and treatment of a superficial upper eyelid arteriovenous malformation

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Christian DecockL Defreyne

Abstract

Combined embolization and surgical excision as a safe treatment for a high flow superficial upper eyelid anteriovenous malformation. Orbital arteriovenous malformations (AVM) may cause significant morbidity including chronic pain and cosmetic disfigurement. These rare lesions require a multidisciplinary approach. A case of an orbital high-flow AVM treated subsequently by an mterventional radiologist and oculoplastic surgeon is presented. Clinical assessment, computed tomography and digital substruction angiography revealed a high-flow AVM. Transvenous and percutaneous embolization was followed by surgical excision. A 1.5 cm, slowly growing, compressible pulsating lesion in the left upper eyelid of a 23 year old man was found. Eye motility and ophthalmologic examination were normal. Valsava manoeuvre didn't increase the size. Imaging revealed a high-flow AVM feeded by the arteria temporalis superficialis (itself feeded by the a. supraorbitalis and supratrochlearis). Draining vessels were the superior ophthalmic vein and a superficial lateral orbital vein. This malformation was first embolized. To prevent iatrogenic embolization of the sinus cavernous, the vein draining into the superior ophthalmic was occluded by a transvenous a...Continue Reading

References

Mar 20, 1981·Documenta Ophthalmologica. Advances in Ophthalmology·R J de Keizer, J T van Dalen
Jun 30, 2000·The British Journal of Ophthalmology·R Huna-BaronA Berenstein

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Citations

Oct 28, 2011·Optometry : Journal of the American Optometric Association·Jonathan Shaver
Oct 19, 2016·Annales de chirurgie plastique et esthétique·C JalouxN Degardin
Apr 23, 2015·Ophthalmic Plastic and Reconstructive Surgery·Chris Y Wu, Alon Kahana
Mar 21, 2015·Ophthalmic Plastic and Reconstructive Surgery·Christopher LoNorman C Charles
Aug 26, 2017·The Journal of Craniofacial Surgery·Jizi XieXianqun Fan
Mar 25, 2020·Ophthalmic Plastic and Reconstructive Surgery·Raffaella CapassoFrancesco Briganti
May 8, 2019·Journal français d'ophtalmologie·A MarchalB Vabres

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