Orbital Cystic Lymphangioma in Children: A Case Report

Case Report

Austin J Clin Ophthalmol. 2024; 11(1): 1175.

Orbital Cystic Lymphangioma in Children: A Case Report

Oumaima Boukhlouf¹*; Alain François Habimana¹; Taha Baiz²; Malik Boulaadas¹

¹Department of Maxillo-Facial Surgery, Ibn Sina Hospital (Hôpital des spécialités), Mohamed V University, Rabat, Morocco

²Department of Ophtalmology, Ibn Sina Hospital (Hôpital des spécialités), Mohamed V University, Rabat, Morocco

*Corresponding author: Oumaima Booukhlouf Department of Maxillo-Facial Surgery, Ibn Sina Hospital (Hôpital des spécialités), Mohamed V University, Rabat, Morocco. Email: boukhloufoumaima@gmail.com

Received: December 26, 2023 Accepted: January 25, 2024 Published: February 01, 2024

Abstract

Orbital lymphangioma is a rare benign tumor that represents 1-2% of all orbital orbital tumors [1]. These lesions are extremely serious not only because of its functional and aesthetic repercussions, but because it’s difficult to have a complete surgery due to the relationships [2].

The diagnosis is most frequently radiological and the management is often highly complex; involving both surgical and medical treatment.

Recurrence is frequent, even after successful surgical treatment.

In this work, we report the case of an orbital lymphangioma in a 6-month-old child with a good evolution after complete excision of the lesion.

Introduction

Lymphangiomas are benign congenital lesions which mostly affect the head and neck region [3]. They are progressive lesions, presenting as thin-walled and dilated vessels isolated from the arteriovenous circulation [2,4]. They are often diagnosed in early childhood, but may go undetected for several years. In other cases they can appear after a triggering factor such as trauma, upper airway infection [3,5,6].

Case Report

C.W, a 6-month-old boy with no previous pathological history, was brought to the emergency department of ophthalmology and maxillofacial surgery for lower palpebral swelling of the right eye associated with chronic tearing and recurrent conjunctivitis since birth. Ophthalmological examination revealed normal visual behavior, a glare reflex with positive photomotor reflex,good eye tone, preserved ocular motility and unilateral convergent strabismus of the right eye (Figure 1).