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[Amblyopia and peri-ocular capillary hemangioma of infancy: screening and clinical course before and after surgery]
M Momtchilova1, B Pelosse, P-A Diner
1Service d'Ophtalmologie, Hôpital d'Enfants Armand Trousseau, 26, rue du Docteur Arnold Netter, 75012 Paris, France. secretariat.ophtalmologie@trs.ap-hop-apris.fr
Insights
Surgical excision of infantile periocular hemangiomas using an ultrasonic scalpel effectively resolves amblyopia and improves visual axis obstruction. Early intervention is recommended for optimal outcomes in pediatric patients.
Area of Science:
- Ophthalmology
- Pediatric Surgery
- Medical Technology
Context:
- Infantile periocular hemangiomas can cause significant visual complications.
- Understanding the impact of surgical intervention on visual development is crucial.
Purpose:
- To analyze visual complications from infantile periocular hemangiomas.
- To evaluate the evolution of these complications before and after surgical treatment.
Summary:
- A retrospective study of 30 children (31 eyes) treated with ultrasonic scalpel excision for periocular hemangiomas.
- Pre- and post-operative evaluations included palpebral occlusion, strabismus, ocular motility, refraction, and amblyopia.
- Surgery significantly reduced palpebral occlusion from 51.7% to 6.4% and amblyopia from 77.4% to 38.7%.
Impact:
- Ultrasonic scalpel excision is an effective and safe technique for infantile periocular hemangiomas.
- Early surgical intervention improves visual axis release, reduces astigmatism, and aids amblyopia treatment.
- The procedure leads to improved ocular motility and reduced strabismus.
Purpose:
The analysis of visual complications provoked by infantile periocular hemangiomas and the understanding of their evolution before and after surgery.
Material:
and methods: A retrospective study including 30 children (31 eyes) who were operated for a periocular hemangioma with a surgical technique with the aid of ultrasonic scalpel Cavitron. Ophthalmological evaluation before and after surgery included: appreciation of the palpebral occlusion, strabismus, ocular motility, objective refraction and amblyopia.
Results:
Surgical operation was performed within an average age of 9.5 months. The excision of periocular hemangiomas was effective on the release of the visual axis and on the amblyopia: 51.7% (16 eyes) of palpebral occlusion before surgery against 6.4% (2 eyes) after surgery and 77.4% (24 eyes) of amblyopia before surgery against 38.7% (12 eyes) after surgery. The anisometropia decreased after surgery. The ocular motility and the strabismus also improved.
Conclusion:
Surgical excision of periocular hemangiomas with the aid of ultrasonic scalpel is an effective technique presenting few complications. This surgery can be suggested early in infancy. It has a very good result in the release of the visual axis and the astigmatism which aided the reeducation of the amblyopia.
