Orbital Lymphangioma: A Case Report and Review of ManagementModalities

Background: generally presents in childhood, orbital lymphangioma is an uncommonunencapsulated vascular malformation of the lymphatic system. these benign cystic lesionsrepresent 1%-4% of all orbital masses and may appear after an upper respiratory infection orminor trauma. because of its nature, the management can be challenging and depends on theclinical presentation. we report an 8-year-old boy with orbital lymphangioma presented withacute proptosis. then, we discuss different features of this disorder plus its managementcase presentation: an 8-year-old boy was presented with sudden left eye proptosis. he hadnormal visual acuity and color vision without ocular pain or diplopia. an infiltrative and diffusedintraconal plus extraconal mass was detected in orbital computed tomography. contrastenhancedmri revealed a multilobulated infiltrative heterogeneous lesion with fluid-fluid levels.the diagnosis was made on imaging, and he went under treatment with an oral corticosteroid.the symptoms were entirely resolved, and no recurrence occurred during the follow-up. thereare several surgical and nonsurgical therapies for orbital lymphangioma. still, the priority isconservative management, such as sclerotherapy (including ok-432, doxycycline, sodiumtetradecyl sulfate, etc.), bleomycin, carbon dioxide laser, systemic corticosteroids, and so on.conclusions: in most cases, the current imaging methods make a noninvasive diagnosis of orbitallymphangioma possible. conservative management should be considered the first treatment.