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 Ophthalmoljournal_title
JAMA ophthalmologyauthors
Gandhi NG,Lin LK,O'Hara Mdoi
10.1001/jamaophthalmol.2013.4201subject
Has Abstractpub_date
2013-09-01 00:00:00pages
1228-30issue
9eissn
2168-6165issn
2168-6173pii
1708779journal_volume
131pub_type
杂志文章abstract:Importance:Visual impairment and visual disorders often co-occur with other chronic conditions. Understanding patterns of multimorbidity is important for reducing health care use and improving health outcomes. Objective:To identify chronic condition patterns and their association with visual impairment and health care...
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更新日期:2015-09-01 00:00:00
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更新日期:2014-01-01 00:00:00
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更新日期:2019-06-06 00:00:00
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更新日期:2015-09-01 00:00:00
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