Orbital Venolymphatic Malformation – Direct Puncture

Case

This is a case of a left intraorbital venolymphatic malformation that was treated with direct puncture embolization with a 3:1 mixture of ethiodol:N-Butyl Cyanoacrylate (or NBCA).

3D Rotational View below:

Here is the DSA demonstrating contrast injection into the lesion:

The patient went for subsequent successful surgical resection with maintenance of vision.