Capillary Hemangioma Presenting as a Scleral Vascular Lesion in a Child.

Abstract:

:A 7-year-old healthy girl presented for an evaluation of a left vascular scleral mass. The lesion appeared spontaneously with no history of trauma, coagulopathy, or topical medication use. It was nontender, enlarging, and did not extend intraocularly. Her OS vision was 20/20, and the remainder of her eye examination was normal. Evaluation of the ocular mass included B-scan ultrasound, ultrasound biomicroscopy, anterior segment optical coherence tomography (OCT), and orbital MRI. The anterior segment OCT demonstrated vessels within the mass with no defined capsule. The orbital MRI confirmed a lesion isolated to the scleral layers of the globe, with low blood flow. The patient had a partial response to oral propranolol. Because the lesion vessels began to extend into her corneal endothelium, there was a concern for malignancy. A biopsy confirmed a benign intrascleral capillary hemangioma. Discontinuation of the propranolol demonstrated stability of the lesion 6 months later.

authors

Bradfield Y,Burkat CN,Albert DM,Potter HAD

doi

10.1097/IOP.0000000000001443

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

e115-e116

issue

5

eissn

0740-9303

issn

1537-2677

pii

00002341-201909000-00027

journal_volume

35

pub_type

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