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Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
Published on: August 8, 2025
Hemangiomas and the eye
Allyson A Spence-Shishido1, William V Good2, Eulalia Baselga3
1Department of Dermatology, University of California-San Francisco School of Medicine, 1701 Divisadero Street, 3rd Floor, San Francisco, CA 94115.
Insights
Infantile hemangiomas near the eye can cause vision loss. Beta-blockers are now a leading treatment, revolutionizing care for these common vascular birthmarks.
Area of Science:
- Ophthalmology
- Dermatology
- Pediatrics
Background:
- Infantile hemangiomas are common vascular birthmarks with distinct growth patterns.
- Periocular hemangiomas pose a risk of amblyopia and permanent vision impairment.
- Segmental periocular hemangiomas are associated with PHACE syndrome and structural anomalies.
Purpose of the Study:
- To review the current understanding and management of periocular infantile hemangiomas.
- To highlight the impact of new therapeutic approaches on visual outcomes.
- To emphasize the importance of multidisciplinary care for affected infants.
Main Methods:
- Review of recent literature on periocular infantile hemangiomas.
- Analysis of treatment outcomes with beta-blockers.
- Discussion of diagnostic criteria and management strategies.
Main Results:
- Beta-blockers (systemic and topical) have emerged as highly effective first-line treatments.
- Early intervention with beta-blockers can prevent or reverse visual impairment.
- Multidisciplinary collaboration improves patient management and outcomes.
Conclusions:
- Periocular infantile hemangiomas require prompt diagnosis and management.
- Beta-blocker therapy has transformed the treatment landscape.
- Close collaboration between ophthalmologists and dermatologists is crucial for optimal care.
Abstract:
Infantile hemangiomas are a common vascular birthmark with heterogeneous presentations and unique growth characteristics with early rapid growth and eventual self-involution. Hemangiomas that develop around the eye have the potential for inducing amblyopia by several mechanisms and may eventually result in permanent visual impairment in otherwise healthy infants. Segmental periocular hemangiomas carry the additional risk of associated structural anomalies and PHACE syndrome. In recent years, the treatment of periocular hemangiomas has been revolutionized by the serendipitous discovery of the effectiveness of beta-blockers (systemic and topical), with most experts viewing these as first-line therapies. The management of periocular hemangiomas should involve a close partnership between an ophthalmologist and dermatologist or other relevant specialists familiar with the unique clinical features, differential diagnosis, treatment approaches, and potential complications.
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