alexa Management of a Large Periocular Infantile Hemangioma with Oral Propranolol and Surgical Excision: A Case Report and Review
ISSN: 2376-127X

Journal of Pregnancy and Child Health
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Case Report

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: [email protected]
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.

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