IngentaConnect Capillary haemangioma of the eyelids and orbit: a clinical review...

Authors: O'Keefe, Michael¹; Lanigan, Bernadette¹; Byrne, Sinead A.¹

Source: Acta Ophthalmologica Scandinavica, Volume 81, Number 3, June 2003 , pp. 294-298(5)

Abstract:

. Purpose:

To describe the presenting features, investigations, treatment and outcome of a series of patients with capillary haemangioma of the eyelids and orbit. Methods:

A retrospective analysis of 21 patients, presenting between the years 1985 and 2000. Effectiveness of treatment was determined by final visual acuity and cosmetic result. Results:

Lesions were more common in females and the upper eyelid was a definite site of predilection. A total of 87.5% of lesions presented within 6 weeks of birth. Intralesional steroid injections were received by 79% of patients. Amblyopia was a definite complication. No local or systemic complications were associated with intralesional steroid injection. Surgery and laser treatment were reserved for persistent lesions. Conclusion:

Early recognition and prompt treatment with intralesional steroid prevents early occlusion amblyopia, but follow-up and management of refractive amblyopia with glasses and patching is necessary in the longer term. In this series, intralesional steroid proved to be a safe effective treatment.

Keywords: capillary haemangioma; intralesional steroid; amblyopia; refractive error

Document Type: Research article

DOI: 10.1034/j.1600-0420.2003.00058.x

Affiliations: 1: The Children's University Hospital, Dublin, Ireland

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Capillary haemangioma of the eyelids and orbit: a clinical review of the safety and efficacy of intralesional steroid