Visual outcomes of treated periocular capillary haemangiomas in childhood: a 10-year review.

Abstract:

PURPOSE:To report our experiences of treating periocular capillary haemangioma with particular emphasis on visual outcomes. METHODS:Patients who underwent treatment for periocular capillary haemangioma were identified, and a chart review was performed. RESULTS:There were seventeen patients in the study. The main indications for treatment were increased size of lesion with threat of amblyopia and partial or full pupil occlusion. Seven patients required more than one type of treatment. Fourteen patients had intralesional steroid treatment and six patients had oral steroids. Intralesional steroids gave variable results with minimal side-effects, oral steroids were very effective but 4 out of 6 patients developed side-effects. The average pretreatment astigmatism was 2.4D and post treatment this had reduced to 1.3D. Final visual outcomes were available for 15 patients, 13 had visual acuity of 6/7.5 or better, two were amblyopic with vision of 6/9-2 and 6/18. CONCLUSION:In this study, intralesional steroids were used for localized lesions and oral steroids for diffuse haemangiomas with orbital involvement. Treatment especially with oral steroids was found to halt the proliferative phase and assist early haemangioma regression reducing ocular sequelae.

journal_name

Acta Ophthalmol

journal_title

Acta ophthalmologica

authors

Gawley SD,Bingham EA,McGinnity G

doi

10.1111/j.1755-3768.2009.01789.x

subject

Has Abstract

pub_date

2011-06-01 00:00:00

pages

396-401

issue

4

eissn

1755-375X

issn

1755-3768

pii

AOS1789

journal_volume

89

pub_type

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