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Management of a case of orbital lymphangioma presenting in adulthood with negative-pressure aspiration and bleomycin injection
  1. Sagnik Sen,
  2. Pallavi Singh,
  3. Mandeep S Bajaj and
  4. Nripen Gaur
  1. Department of Ophthalmology, All India Institute of Medical Sciences, New Delhi, India
  1. Correspondence to Dr Pallavi Singh, drpallavisingh.rpc{at}


We hereby report a case of a 55-year-old woman, with complaints of sudden onset outward protrusion of left eye progressing over 2 months, along with pain and loss of vision. Visual acuity in the affected eye was light perception only. On imaging, a well-defined solitary cystic lesion was noted in the retrobulbar space, which showed no enhancement on contrast-enhanced MRI. We performed fluid aspiration from the cyst under negative pressure and injected bleomycin as a sclerosant, without attempting a surgical excision. The proptosis reduced visibly, and after a week, visual acuity improved to finger counting at 1 m. At the 6 months follow-up, the patient did not show any recurrence of proptosis. This report highlights the importance of sclerosant therapy without the need for surgical excision in managing macrocystic lymphangiomas in adult age group.

  • ophthalmology
  • therapeutic indications
  • eye
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  • Contributors All authors have contributed to the work submitted. SS and PS have contributed to the planning, collecting of data and reporting. MSB and NG are involved in planning and conduct of the study.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.

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