Sildenafil for pediatric orbital lymphangioma.

Abstract:

IMPORTANCE:Orbital lymphangiomas, congenital hamartomas of the lymphovascular tissue, are often associated with significant ocular complications and can be challenging to treat. To date, therapeutic approaches have demonstrated variable results and have significant ocular and systemic risks. We present 2 cases of pediatric orbital lymphangioma that responded to treatment with oral sildenafil. OBSERVATIONS:This is a report of a series of 2 patients at the University of California-Davis Medical Center treated between March 2011 and October 2012. The first patient was a 12-month-old male infant whose extensive orbital and facial lymphangioma responded to sildenafil after repeated sclerosing and drainage procedures failed to achieve remission. The second patient was a 12-year-old boy whose orbital lymphangioma and associated ocular pain improved with sildenafil, making enucleation unnecessary. CONCLUSIONS AND RELEVANCE:These reported cases demonstrate promise for sildenafil as a noninvasive therapy for pediatric lymphangioma. Larger clinical trials are needed to clarify the optimal length of treatment, use as monotherapy, and long-term adverse effects.

journal_name

JAMA Ophthalmol

journal_title

JAMA ophthalmology

authors

Gandhi NG,Lin LK,O'Hara M

doi

10.1001/jamaophthalmol.2013.4201

subject

Has Abstract

pub_date

2013-09-01 00:00:00

pages

1228-30

issue

9

eissn

2168-6165

issn

2168-6173

pii

1708779

journal_volume

131

pub_type

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