[Intraorbital extraocular Langerhans' cell granuloma: primary surgical approach. Why? - case report].

Abstract:

:We present a case in which a patient with intraorbital Langerhans' cell granuloma, with anatomical and functional skills compromised by intraorbital hypertension, which was treated with urgency orbitotomy by cranial approach. Male, two years-old, presented conjuntival proptosis, red eye, complete ophthalmoplegy, exophthalmos, with non-fotoreactive mydriasis and blepharoptosis of the right eye. Fundoscopy presented venous enlargement with optic disc edema. A cranial approach with orbitotomy was carried out, removed the lesion with total remission of clinical presentation and anatomic appearance as well. The handling of Langerhans' cell granuloma can vary from primary surgical approach as corticotherapy to chemotherapy and radiotherapy. In this case, the surgery was the first option due to the imminent risk of loss of visual function.

journal_name

Arq Bras Oftalmol

authors

Valentim Neto JG,Schaurich CG

doi

10.1590/s0004-27492009000100018

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

91-4

issue

1

eissn

0004-2749

issn

1678-2925

pii

S0004-27492009000100018

journal_volume

72

pub_type

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