Dr.Ruju Unadkat

Dr.Santosh G. Honavar, Dr.Rolika Bansal

Abstract

Purpose:Demography,clinico-radiological findings,and management outcome in biopsy proven orbital cavernous venous malformation (OCVM) cases.Method: Retrospective, interventional, consecutive case series of 80 patients Result: OCVM constituted 5.4% of operated orbital tumors.Median age 44 years.Symptomatic patients 70(87.5%),protrusion of eyeball 54(67.5%) and diminished vision 29(36.2%) were predominant symptoms. Predominant signs-proptosis 59(73.8%) and diminished vision 39(48.8%).Tumor was intraconal 53(66.2%), with extraconal extension 15(18,7%) or extraconal 10(12.5%). Extraocular muscle involved in 37(46.2%) and optic nerve in 14(17.5%). Excisional biopsy performed with lateral orbitotomy 41(51.3%), anterior orbitotomy 21(26.3%), or transconjunctival 18(22.5%). Local tumor control and no functional deficit was achieved at final follow up of 13.2+1.6 years. Conclusion: Accurate preoperative clinico-radiological diagnosis and tailoring surgical technique yields gratifying outcome.