Abstract

Study design:Retrospective interventional case  series
Purpose :To assess clinical  presentation of orbital venolymphatic malformation patients and to evaluate outcome of injection  bleomycin.
Methods: 7 patients of venolymphatic  malformationwho  underwent  injections of bleomycin from january 2021 to june 2023.
Imaging guided injection of reconstituted  bleomycin was done within lesion
and repeated 4 weekly based on response.
Outcomes were based on reduction in size of lesion. And complications noted.

Result :Of 7 patients, 71 % were females.
Age were between 2.5 to 20 years.
Orbitopalpebral was  common location.
Two sessions  of mean 8 IU bleomycin was injected.
Mild ,moderate and severe proptosis found  in 66%, 16.66% and16.66% of patients with acceptable resolution in all patients.

Conclusion:Orbital venolymphatic malformation mostly presents with lid
swelling and proptosis and
easy to inject with
significant reduction of lesion facilitating
quick postoperative recovery.

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