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Updated: Oct 5, 2026

Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia
Published on: August 9, 2024
[Pathological findings in the eye of children with facial nevus]
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.
Background:
Port-wine stains distributed to the trigeminal area may be associated with eye and/or central nervous system complications. Visual loss may be prevented with screening for eye pathology at an early age with adequate intervention.
Material And Methods:
45 children with port-wine stains in the trigeminal area were examined by an ophthalmologist under general anaesthesia.
Results:
Seven of 30 patients with one or both eyelids affected had a choroidal vascular anomaly. Four patients had glaucoma. These four patients had both eyelids affected. Two children with a vascular anomaly had only upper eyelid involvement.
Interpretation:
Patients with facial port-wine stains affecting the eyelids should be screened for eye pathology at an early age.

