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Hemangiomas and the eye.

Allyson A Spence-Shishido1, William V Good2, Eulalia Baselga3

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Infantile hemangiomas near the eye can cause vision loss. Beta-blockers are now a leading treatment, revolutionizing care for these common vascular birthmarks.

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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.