Szemészet, 2002 (139. évfolyam, 1-4. szám)

2002-12-01 / 4. szám

Szemészet

70

Experiences with treatment for vascular tumours of the eyelid and

conjunctiva

Maka, Erika,1 Lukáts, Olga,2 Tóth, Jeannette,2 Süveges, Ildikó2

'Dept, of Ophthalmology, Bugát Pál Hospital, Gyöngyös 21st Dept, of Ophthalmology, Medical Faculty, Semmelweis University, Budapest

Purpose: To analyse the data concerning patients who were treated for vascular tumour of the eyelid and conjunctiva between January 1997 and December 2001 in our university ophthalmology department.

Patients and methods: Vascular tumour of the eyelid and conjunctiva was diagnosed clinically in 31 patients during this period. The lesions caused various signs and symptoms: cosmetic problems (26), bleeding (3), strabismus (1), and ptosis (1).

Results: Isolated tumour was found in 26 patients, and surgical excision was performed in these cases. Dissection was used around the tumour; this was easy to perform because the lesion tended to be relatively encapsulated. The diathermic knife was used in 3 cases. In 5 cases, large vessels surrounding the lesion were cauterised. In one case major intraoperative arterial haemorrhage developed, and a ligature was required. The lesions were of various histological types: 11 haemangioma cavernosum, 7 haemangioma capillare, 3 haemangioma arteriovenosum, 3 venectasia, 1 nevus teleangiectaticus, and 1 vascular malformation. There were no complications in the postoperative period, with no wound dehiscence or infection.

Conclusion: We conclude that surgical excision of isolated and noninfiltrative vascular tumour of the eyelid and conjunctiva can be regarded as a safe treatment.

2002 augusztus 30.