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Management of a Large Periocular Infantile Hemangioma with Oral Propranolol and Surgical Excision: A Case Report and Review
| Michelle Y.Y. Wong1, Gordon S.K. Yau1*, Jacky W.Y. Lee1, Aaron T. K. Chu1,2, Victor T.Y. Tam1 and Can Y.F. Yuen1 | |
| 1Department of Ophthalmology, Caritas Medical Centre, Hong Kong Special Administrative Region, China | |
| 2Eye and Face Specialty Clinic, Rm. 905A, 26 Nathan Road, Tsimshatsui, Hong Kong Special Administrative Region, China | |
| Corresponding Author : | Gordon S. K. Yau Department of Ophthalmology Caritas Medical Centre 111 Wing Hong St. Kowloon, Hong Kong, China Tel: 852 34087911 Fax: 852 23070582 E-mail: skyau0303@gmail.com |
| Received June 19, 2014; Accepted July 26, 2014; Published August 02, 2014 | |
| Citation: Wong MYY, Yau GSK, Lee JWY, Chu ATK, Tam VTY, et al.(2014) Management of a Large Periocular Infantile Hemangioma with Oral Propranolol and Surgical Excision: A Case Report and Review. J Pregnancy and Child Health 1:103 doi: 10.4172/2376-127X.1000103 | |
| Copyright: © 2014 Wong MYY, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. | |
Abstract
Hemangioma is a common vascular tumor of childhood. Management of large periocular infantile hemangiomas is challenging as it may result in deprivational amblyopia, squint and severe disfigurement. Timely and multidisciplinary management is required when complications arise. The purpose of the study was to report a case of a large periocular capillary hemangioma that was successfully treated with oral propranolol followed by surgical excision. A 2 month old girl presented with a large upper eyelid infantile capillary hemangioma complicated by dense amblyopia. The hemangioma failed to regress despite a course of oral steroid and 3 intra-lesional steroid injections. She was subsequently treated with oral propranolol followed by surgical excision of the hemangioma. At 1 year after treatment, her periocular hemangioma regressed with good cosmetic and visual outcome. Visually threatening periocular infantile hemangioma can be successfully treated with a combination of oral propranolol followed by surgical excision.
