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Large orbital hemangioma: managed with systemic propranolol.

Ranjith K Puligadda¹, B Vijayalakshmi

¹Department of Ophthalmology, NRI General Hospital, Chinakakani, Guntur, Andhra Pradesh, 522503, India, ranjitsurgeon@gmail.com.

Indian Journal of Pediatrics

|November 26, 2013

Summary

Most infantile hemangiomas resolve spontaneously. However, a large orbital hemangioma obscuring the eye in a 5-month-old infant was successfully treated with oral propranolol, preserving vision.

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Area of Science:

Ophthalmology
Pediatrics
Dermatology

Background:

Infantile hemangiomas are common benign vascular tumors in infants.
While many resolve spontaneously, some require intervention due to functional impairment or complications.
Orbital hemangiomas can threaten vision and require prompt management.

Observation:

A 5-month-old infant presented with a large left-sided orbital hemangioma.
The hemangioma completely obscured the palpebral fissure, posing a risk to vision.
The infant had no other significant medical history.

Findings:

The infant was successfully managed with oral propranolol therapy.
Propranolol led to significant regression of the orbital hemangioma.
Visual function was preserved, and the palpebral fissure was no longer obscured.

Implications:

Oral propranolol is an effective treatment for large orbital infantile hemangiomas.
Early intervention with propranolol can prevent long-term visual impairment.
This case highlights the importance of considering systemic propranolol for visually significant infantile hemangiomas.