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Astigmatism associated with adnexal masses in infancy
S Bogan1, J W Simon, G B Krohel
1Department of Ophthalmology, Albany Medical College, NY 12208.
Archives of Ophthalmology (Chicago, Ill. : 1960)
|October 1, 1987
Summary
Infants with dacryoceles and hemangiomas frequently develop significant astigmatism. This eye condition often resolves as the lesions do, but monitoring is crucial to prevent vision loss.
Area of Science:
- Ophthalmology
- Pediatric Ophthalmology
- Ophthalmic Genetics
Background:
- High astigmatism is common in infants with hemangiomas.
- Astigmatism associated with other adnexal masses is less documented.
- Anisometropic amblyopia is a concern in infants with hemangiomas.
Purpose of the Study:
- To document and compare the prevalence and characteristics of astigmatism in infants with various adnexal masses.
- To identify adnexal masses associated with a higher risk of astigmatism.
- To assess the relationship between adnexal masses and astigmatism resolution.
Main Methods:
- Retrospective review of 65 patients (69 eyes) with chalazions, dermoids, hemangiomas, and dacryoceles.
- Analysis of refractive data, including cycloplegic refractions.
- Correlation of astigmatism with specific adnexal mass types and lesion resolution.
Main Results:
- Astigmatism (>+1.25 diopters) was most common in dacryoceles (8/12 eyes) and hemangiomas (14/17 eyes).
- Astigmatism axes were oriented towards the lesion and tended to resolve with lesion resolution.
- Low prevalence of astigmatism was observed in dermoids (1/17 eyes) and chalazions (2/23 eyes).
Conclusions:
- Dacryoceles and hemangiomas pose a significant risk for developing astigmatism in infants.
- Patients with dacryoceles may be at a similar risk for amblyopia as those with hemangiomas.
- Regular cycloplegic refractions are essential for managing infants with adnexal masses and astigmatism.