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https://hdl.handle.net/2440/50907
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dc.contributor.author | Warrier, S. | - |
dc.contributor.author | Prabhakaran, V. | - |
dc.contributor.author | Valenzuela, A. | - |
dc.contributor.author | Sullivan, T. | - |
dc.contributor.author | Davis, G. | - |
dc.contributor.author | Selva-Nayagam, D. | - |
dc.date.issued | 2008 | - |
dc.identifier.citation | JAMA Ophthalmology, 2008; 126(12):1669-1675 | - |
dc.identifier.issn | 0003-9950 | - |
dc.identifier.issn | 1538-3601 | - |
dc.identifier.uri | http://hdl.handle.net/2440/50907 | - |
dc.description | Copyright © 2008 American Medical Association. All rights reserved. | - |
dc.description.abstract | <h4>Objective</h4>To present the clinical features, management, and outcomes in a series of patients with orbital arteriovenous malformations (AVMs).<h4>Methods</h4>Clinical records of patients with orbital AVMs confirmed using angiography were reviewed as a retrospective, noncomparative, interventional case series.<h4>Results</h4>Eight patients (3 women and 5 men) with unilateral AVMs and a mean age of 39 years (median, 36.5 years; range, 26-70 years) were reviewed. Findings existed for an average of 11.2 years before diagnosis and included periocular mass (7 patients, 88%); periocular edema, pulsation/bruit, proptosis, episcleral congestion, and previous trauma (4 patients each, 50%); elevated intraocular pressure (3 patients, 38%); pain and reduced visual acuity (2 patients each, 25%); and restriction of extraocular movements, and diplopia (1 patient each, 12%). All of the patients except 1 underwent surgical resection, with 3 (38%) receiving preoperative embolization of feeder vessels; all of the patients had initial resolution of manifestations after treatment.<h4>Conclusions</h4>Angiography is essential for diagnosis and for planning the management of orbital AVMs. Treatment depends on patient-specific features and includes observation, embolization, and surgical excision or combined preoperative embolization/excision. Given their vascular nature, the main cause of poor management outcomes is perioperative hemorrhage. Outcomes after a multidisciplinary approach are good, with few recurrences reported at follow-up. | - |
dc.description.statementofresponsibility | Sunil Warrier, Venkatesh C. Prabhakaran, Alejandra Valenzuela, Tim J. Sullivan, Garry Davis and Dinesh Selva | - |
dc.language.iso | en | - |
dc.publisher | Amer Medical Assoc | - |
dc.source.uri | http://archopht.ama-assn.org/cgi/content/abstract/126/12/1669 | - |
dc.subject | Face | - |
dc.subject | Orbit | - |
dc.subject | Carotid Artery, External | - |
dc.subject | Ophthalmic Artery | - |
dc.subject | Humans | - |
dc.subject | Arteriovenous Malformations | - |
dc.subject | Tomography, X-Ray Computed | - |
dc.subject | Magnetic Resonance Imaging | - |
dc.subject | Fluorescein Angiography | - |
dc.subject | Embolization, Therapeutic | - |
dc.subject | Retrospective Studies | - |
dc.subject | Adult | - |
dc.subject | Aged | - |
dc.subject | Middle Aged | - |
dc.subject | Female | - |
dc.subject | Male | - |
dc.title | Orbital Arteriovenous Malformations | - |
dc.type | Journal article | - |
dc.identifier.doi | 10.1001/archophthalmol.2008.501 | - |
pubs.publication-status | Published | - |
dc.identifier.orcid | Selva-Nayagam, D. [0000-0002-2169-5417] | - |
Appears in Collections: | Aurora harvest 5 Medicine publications |
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