Management of Orbital and Periocular Vascular Anomalies

In Brief Purpose: To review the treatment modalities available to clinicians who treat orbital and periocular vascular anomalies, with a focus on newer approaches. Methods: The authors’ experience, along with a literature review, was used to provide a concise summary of the available approaches to the treatment of periocular vascular anomalies. Emerging diagnostic tools and therapies are highlighted. Results: The treatment of orbital and periocular vascular anomalies, including vascular malformations and tumors, increasingly utilizes a multidisciplinary team and a combination of endovascular, percutaneous, and open surgical techniques. Conclusions: A growing reliance on new instrumentation and tools in a team-oriented approach to treatment may lead to better results with improved visual function and cosmesis and with reduced risk of complications. Orbital vascular anomalies include both tumors and malformations, and can lead to deformity and vision loss. Successful treatment often requires a multidisciplinary approach that is driven by the diagnosis.