Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision
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Date
2018-01
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Publisher
All India Ophthalmological Society
Abstract
Periorbital arteriovenous malformations (AVMs) are congenital lesions that may cause significant morbidity such as amblyopia, cosmetic disfigurement, or chronic pain. Due to the rarity of these lesions, they are frequently misdiagnosed and treated inappropriately. We managed a 6-year-old girl with preseptal AVM by endovascular embolization followed by complete surgical excision after 2 days. She was previously diagnosed as capillary hemangioma and was being treated with intralesional steroid injections and oral propranolol. Neuroimaging revealed an AVM fed by the branches of both external and internal carotid arteries and drained by the superior ophthalmic vein. Endovascular embolization with glue followed by complete surgical excision of the lesion was done. The resultant cosmetic and functional outcome was gratifying. Diagnosis and management of periorbital AVM remain a challenge requiring a multidisciplinary approach involving interventional radiologist and trained oculoplastic surgeons. Combined endovascular embolization followed by surgical excision proved safe and effective.
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Keywords
Arteriovenous malformation, endovascular embolization, surgical excision
Citation
Mukherjee B, Vijay V, Halbe S. Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision. Indian Journal of Ophthalmology. 2018 Jan; 66(1): 151-154