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Related Experiment Videos

Periorbital hemangiomas.

N S Goldberg1, M A Rosanova

  • 1New York Medical College, Valhalla.

Dermatologic Clinics
|October 1, 1992
PubMed
Summary
This summary is machine-generated.

Periorbital hemangiomas in infants can rapidly impair vision, especially those affecting the upper eyelid. Early identification and corticosteroid treatment are crucial for preserving normal binocular vision.

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Area of Science:

  • Ophthalmology
  • Pediatric Medicine
  • Dermatology

Background:

  • Periorbital hemangiomas are common benign vascular tumors in infants.
  • These lesions can cause significant visual impairment by obstructing vision or inducing amblyopia.

Purpose of the Study:

  • To characterize the relationship between periorbital hemangioma features and visual development.
  • To identify risk factors for visual impairment in infants with periorbital hemangiomas.

Main Methods:

  • Retrospective analysis of clinical data from infants with periorbital hemangiomas.
  • Correlation of lesion characteristics (location, size, resolution) with visual outcomes (binocular vision, amblyopia).

Main Results:

  • Upper eyelid hemangiomas causing partial closure can lead to rapid vision loss.

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  • Lower eyelid lesions <1/3 of the margin, not extending beyond the eyelid, and resolving early pose minimal risk.
  • Larger lesions (>1/2 margin), extending beyond the eyelid, resolving late, and obstructing the visual axis are associated with deprivation amblyopia.
  • Bulky upper lid lesions causing partial closure and late resolution are linked to anisometropic amblyopia.

    • Conclusions:

    • Periorbital hemangioma characteristics significantly influence the risk and type of visual impairment.
    • Prompt evaluation and management, including corticosteroid therapy, are essential for preventing permanent vision deficits.