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Capillary haemangioma of the eyelids and orbit: a clinical review of the safety and efficacy of intralesional steroid
Article first published online: 29 MAY 2003
DOI: 10.1034/j.1600-0420.2003.00058.x
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How to Cite
O'Keefe, M., Lanigan, B. and Byrne, S. A. (2003), Capillary haemangioma of the eyelids and orbit: a clinical review of the safety and efficacy of intralesional steroid. Acta Ophthalmologica Scandinavica, 81: 294–298. doi: 10.1034/j.1600-0420.2003.00058.x
Publication History
- Issue published online: 29 MAY 2003
- Article first published online: 29 MAY 2003
- Received on June 4th, 2002. Accepted on January 10th, 2003.
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Keywords:
- capillary haemangioma;
- intralesional steroid;
- amblyopia;
- refractive error
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.