Sclerotherapy for eyelid and anterior orbital venous-lymphatic malformation

Purpose: to assess the efficacy of sclerotherapy with sodium tetradecyl sulfate (sts; fibrovein 1%) in superficial periocular venous and lymphatic malformations. methods: eleven patients with low-flow venous and lymphatic malformations with extension predominantly to the eyelids, conjunctiva, and anterior orbit were selected. sclerotherapy with sts was undertaken as an office-based procedure without any radiological guidance. injections were repeated every 4 weeks until desired response occurred. therapeutic effect was assessed objectively by change in the size of the lesions in serial photography. results: the lesions completely resolved in 4 cases with small eyelid and fornix lesions. in other 7 cases there was partial resolution to less than half of primary size. we did not have any significant complications. conclusion: sclerotherapy with sts is an easy and effective modality for treatment of venous lymphatic malformations and can be undertaken as an office-based procedure in lesions which are limited to eyelids and anterior orbit.