TY - JOUR AU - Chaudhary, Santosh AU - Pant, Aashish Raj AU - Badhu, Badri Prasad PY - 2021/01/01 Y2 - 2024/03/29 TI - Managing Recurrent Orbital Lymphangioma in a Pubertal Female with Negative Pressure Aspiration and Intralesional Bleomycin Injection: A Case Report JF - Nepalese Journal of Ophthalmology JA - Nep J Oph VL - 13 IS - 1 SE - Case Reports DO - 10.3126/nepjoph.v13i1.30723 UR - https://nepjol.info/index.php/NEPJOPH/article/view/30723 SP - 157-161 AB - <p><strong>Introduction: </strong><span style="font-weight: 400;">Management of orbital lymphangioma is challenging. Complete surgical excision is often impossible due to its infiltrative nature. Sclerosing agents have been used in its management with variable outcomes. We report a case of recurrent orbital lymphangioma managed with intralesional bleomycin.&nbsp;</span></p><p><strong>Case: </strong><span style="font-weight: 400;">A 14-year-old female presented with proptosis of the right eye for two weeks. She had a similar history at five years of age for which she underwent surgical excision. We performed negative pressure aspiration using a 20-gauge angiocatheter, injected bleomycin, and left the cannula in situ for repeat aspiration to maintain cyst collapse.&nbsp;</span></p><p><strong>Observation: </strong><span style="font-weight: 400;">The</span><strong> l</strong><span style="font-weight: 400;">ymphangioma regressed, and there was no recurrence at six months of follow-up.&nbsp;</span></p><p><strong>Conclusion: </strong><span style="font-weight: 400;">This report highlights the use of negative pressure aspiration and intralesional bleomycin injection by minimal intervention using angiocatheter in the successful management of orbital lymphangioma.</span></p> ER -