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Successful Management of a Large Orbital Hemangioma in an Infant: A Case Report
Eman Abdulla1, Zainab Abdulla1, Warda Alalawi2
1General Practice, Mansoura University, Mansoura, EGY.
Insights
Orbital hemangiomas in infants often cause eyelid swelling. Propranolol therapy effectively treats these benign tumors, leading to significant improvement and highlighting the importance of early intervention.
Area of Science:
- Ophthalmology
- Pediatric Oncology
- Vascular Biology
Background:
- Orbital hemangiomas are common benign vascular tumors in infants and young children.
- Clinical manifestations include proptosis, eyelid swelling, and discoloration.
- Propranolol is the established first-line treatment for promoting tumor regression.
Observation:
- A six-month-old male infant presented with progressive right eyelid swelling and discoloration.
- Magnetic resonance imaging confirmed a large orbital hemangioma.
- The infant was referred for specialized ophthalmologic care.
Findings:
- Treatment with propranolol resulted in substantial clinical improvement.
- Pharmacologic intervention demonstrated high efficacy in this pediatric case.
- Early recognition and prompt treatment are key to successful management.
Implications:
- This case highlights the successful use of propranolol for orbital hemangiomas.
- Emphasizes the critical role of early diagnosis and timely propranolol initiation.
- Underscores the necessity of long-term follow-up for optimal patient outcomes.
Abstract:
Orbital hemangiomas are benign vascular tumors commonly affecting infants and young children, often manifesting with proptosis, eyelid swelling, or discoloration. Propranolol has emerged as the primary therapy due to its efficacy in promoting regression and minimizing complications. Here, we present a case of a previously healthy six-month-old male infant with progressive right eyelid swelling and discoloration. Magnetic resonance imaging confirmed a large orbital hemangioma. The patient was referred to an ophthalmology center where treatment with propranolol resulted in substantial improvement. Early recognition and initiation of propranolol therapy are crucial in managing orbital hemangiomas in pediatric patients. This case underscores the successful outcome achievable with pharmacologic intervention and emphasizes the importance of long-term follow-up for monitoring and optimizing patient outcomes.
