Noida: A 24-year-old man from Agra regained his eyesight and eyelid movement after undergoing complex surgery for a rare facial venous malformation at a hospital in Greater Noida.The congenital vascular disorder affected the right side of his face, including the forehead, eyebrow and upper eyelid. Over the years, the abnormally formed veins gradually enlarged, causing progressive swelling that led to drooping of the eyelid, impaired vision and episodes of double vision. At times, the man was forced to keep one eye closed to see clearly.Venous malformations are rare, affecting an estimated one to two people per 10,000. While present at birth, they often worsen with age. Doctors said lesions near the eye pose particular challenges due to the dense network of fragile blood vessels and their proximity to critical structures involved in vision.The patient had approached several hospitals in the past but was repeatedly advised against surgery because of the risk of severe bleeding and potential loss of eyesight. Two years ago, an attempted procedure elsewhere failed and left behind scar tissue, further complicating his condition.Detailed clinical evaluation and imaging at ShardaCare hospital later revealed an extensive venous malformation measuring around 6 by 5 cms externally, with deeper spread across the forehead and eyelid. After careful assessment, doctors decided on a redo surgery aimed at removing the lesion while preserving eye function. The procedure involved meticulous dissection through multiple abnormal venous channels and protection of the muscles responsible for eyelid movement. “Redo surgeries for vascular malformations are challenging because scarring distorts normal anatomy,” said Dr Jagdish Chander, senior director of general surgery at ShardaCare-Healthcity, Greater Noida. “Our priority was to clear the lesion while safeguarding vision and eyelid movement.”
