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Capillary haemangiomas: an approach to their management
1Moorfields Eye Hospital, London.
The British Journal of Ophthalmology
|May 1, 1991
Summary
Intralesional steroid injections effectively reduced the incidence of amblyopia in children with eyelid hemangiomas. Surgery was reserved for older patients with stable lesions.
Area of Science:
- Ophthalmology
- Pediatric Medicine
- Dermatology
Background:
- Eyelid hemangiomas are common benign vascular tumors in infants.
- Enlarging lesions pose a risk of developing amblyopia, or 'lazy eye'.
- Early intervention is crucial to prevent long-term visual impairment.
Purpose of the Study:
- To evaluate the efficacy of intralesional steroid injections in treating eyelid hemangiomas.
- To assess the impact of early steroid treatment on the incidence of amblyopia.
- To determine the role of surgery in managing residual hemangiomas.
Main Methods:
- Retrospective review of 25 children with eyelid hemangiomas.
- Treatment group: 15 patients received intralesional steroid injections for enlarging lesions at risk of amblyopia.
- Comparison: Lesions were monitored for involution; surgery was reserved for specific cases.
Main Results:
- Intralesional steroid injections significantly reduced the incidence of amblyopia in treated children.
- Early intervention with steroids appeared to be an effective primary treatment.
- Surgical intervention was necessary only in older children with stable, non-involuting lesions.
Conclusions:
- Intralesional steroid therapy is a highly effective treatment for eyelid hemangiomas presenting with amblyogenic risk.
- Prompt administration of steroids can prevent or mitigate visual deficits.
- Surgery remains an option for specific cases where conservative management is insufficient.
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