What visual complications are associated with infantile hemangiomas?

Updated: Feb 06, 2019
  • Author: Richard J Antaya, MD; Chief Editor: William D James, MD  more...
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Answer

Visual obstruction should be considered whenever a hemangioma involves the eyelids or periorbital tissues.

Hemangiomas can lead to visual deprivation amblyopia by 3 separate mechanisms: physical obstruction of the visual axis, astigmatism from direct pressure on the anterior segment from eyelid involvement (upper eyelid is more common than lower eyelid), and unilateral myopia. Strabismus can result either secondary to amblyopia or from paralysis of the extraocular muscles infiltrated by an orbital hemangioma.

A pediatric ophthalmologist should evaluate all children with periorbital hemangiomas using refraction with retinoscopy, with upper eyelid lesions requiring the most frequent observation. A thorough discussion of periocular hemangiomas is beyond the scope of this chapter; however, a review by Ceisler and colleagues describes the appropriate evaluation and potential treatments. [54]

Also see Capillary Hemangioma.


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