Capillary haemangiomas of the eyelid and orbit
Supaporn Tengtrisorn, D. of Ophthalmology, F. of Medicine, PSU.
James Elder, D. of Ophthalmology, Royal Children's Hospital, Melbourn, Australia
Corresponding e-mail : tsupapor@ratree.psu.ac.th
Published : Thai J Ophthalmol 1999, 13(2) : 159-166
Key words : capillary haemangiomas, eyelid, orbit
Objective : To characterize the patients who had capillary haemangioma of the eyelid and
orbit, and their management.
Methods : Examination the records was performed on 45 children who had diagnosis of ca-pillary haemangioma of the eyelid and orbit.
Results : Most (43/45) of the capillary haemangiomas of the eyelid and orbit were present before 2 months of age and the mean age of diagnosis was 109 days. The presenting signs were Strawberry naevus, subcutaneous mass and purple appearance. Half of them (61.11%) had astigmatism with an
axis related with location of the mass and improved after treatment. Most of the patients (33/45) received their first treatment and corticosteroid injection is the main mordatory treatment (72.73%), compared with systemic steroid (9.09%), excision (12.12%) and systemic interferon (6.06%). All of them did not have serious complication. After treatment, most of them (72.5%) had normal vision.
Conclusion : Early detection of amblyopia and early treatment are very important in cases of capillary haemangioma of the eyelid and orbit while appropriate treatment are planned.
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