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
Acta Ophthalmologica Scandinavica
Volume 81, Issue 3, pages 294–298, June 2003
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
- Issue published online: 29 MAY 2003
- Article first published online: 29 MAY 2003
- Received on June 4th, 2002. Accepted on January 10th, 2003.
- capillary haemangioma;
- intralesional steroid;
- refractive error
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.