[Pathological findings in the eye of children with facial nevus]

P Helsing1, N J Mørk, T Flage

  • 1Hudavdelingen, Rikshospitalet 0027 Oslo. per.helsing@rikshospitalet.no

Insights

Children with facial port-wine stains require early eye screenings. Early detection and intervention for conditions like glaucoma can prevent vision loss in pediatric patients.

Area of Science:

  • Ophthalmology
  • Pediatrics
  • Dermatology

Background:

  • Port-wine stains (PWS) in the trigeminal area can indicate potential eye and central nervous system complications.
  • Early screening for ocular pathology in affected children is crucial for preventing visual impairment.

Purpose of the Study:

  • To investigate the prevalence of ocular abnormalities in children with trigeminal port-wine stains.
  • To emphasize the importance of ophthalmological screening in this patient population.

Main Methods:

  • A cohort of 45 children with port-wine stains located in the trigeminal nerve distribution was examined.
  • Ophthalmological examinations were conducted under general anesthesia for all participants.

Main Results:

  • Ocular abnormalities were detected in a significant subset of patients.
  • Specifically, 7 out of 30 patients with eyelid involvement showed choroidal vascular anomalies.
  • Glaucoma was diagnosed in 4 patients, all of whom had bilateral eyelid involvement.

Conclusions:

  • Facial port-wine stains involving the eyelids necessitate prompt and thorough ophthalmological screening.
  • Early detection and management of associated eye conditions are vital for preserving vision in affected children.
Abstract