EPOS

European Paediatric Ophthalmological Society

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18 Capillary haemangioma of the eyelids and orbit -a review of the clinical features and therapeutic results in 24 cases

Byrne, S., O'Keefe, M.
The Children's Hospital, Temple Street, Dublin, Ireland

Purpose: To describe the presenting features, investigations,treatment and outcome of a series of patients with capillary haemangioma of the eyelids and orbit.

Methods:A retrospective analysis of a case series of 24 patients, presenting between the years 1985 and 2001.

Results:Lesions predominated in females and typically appeared at birth or within the first eight weeks of life.The superior lids were definite sites of predilection. Extensive facial involvment was seen in two patients. Sixteen patients received intralesional steroid injections. One patient received additional laser treatment and a further two required surgical debulking.Despite a favourable outcome in several cases, persistant amblyopia was noted to be a significant problem.

Conclusion:Present treatment modalities do not appear to be achieving the desired goals of good cosmetic and functional outcome in all cases.