Orbit and eyelid hemangiomas: Is there a relationship between location and ocular problems?

Dubois, Josée; Milot, Jean; Jaeger, Brigitte Ingrid; McCuaig, Catherine; Rousseau, Élisabeth; Powell, Julie

doi:10.1016/j.jaad.2006.05.042

Cited by 39 publications

(25 citation statements)

References 18 publications

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“…3,6 Contrary to reports in the literature in which hemangiomas are found predominantly in white infants, both patients in the present case report are brown-skinned and, in fact, patient #1 is of native indian descent. Around half of all hemangiomas are present at birth, although it is unusual for them to be completely developed at Child with residual telangiectasia on face six months after treatment this time.…”

Section: Discussioncontrasting

confidence: 90%

Hemangiomas periorbitários: necessidade de conduta ativa - relato de dois casos

Pereira

Rodrigues

Lima

et al. 2011

An. Bras. Dermatol.

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Hemangioma is the most common tumor of childhood and is commonly located on the head or neck. The orbit is often affected and early and aggressive intervention is required to prevent serious visual complications. This paper reports on two cases. In the first case, the patient's vision was impaired, while in the second case a deep hemangioma affecting adjacent areas was confirmed radiologically. Treatment with aggressive systemic corticotherapy was successful, thus avoiding permanent damage to the patients' vision. Furthermore, esthetic outcome was satisfactory. The treatment of choice is oral corticosteroids and management should be individualized and should include careful follow-up to monitor possible adverse effects. Keywords: Adrenal cortex hormones; Glucocorticoids; Hemangioma; Hemangioma, capillary; Hemangioma, cavernous; therapeutics Resumo: Hemangioma é o tumor mais comum da infância, frequentemente situado na cabeça e pescoço. A órbi-ta é frequentemente acometida e indica intervenção precoce e agressiva para evitar sérias complicações visuais. Reportam-se dois casos, nos quais há impedimento da visão no primeiro e, no segundo, um hemangioma profundo acomete áreas adjacentes, confirmado por exame radiológico. Demonstra-se sucesso terapêutico após corticoterapia sistêmica agressiva, evitando sequelas visuais permanentes, além do resultado estético satisfatório. O tratamento de escolha é o corticosteroide oral, devendo ser conduta individualizada e com bom seguimento clí-nico dos possíveis efeitos adversos.

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Section: Discussioncontrasting

confidence: 90%

Hemangiomas periorbitários: necessidade de conduta ativa - relato de dois casos

Pereira

Rodrigues

Lima

et al. 2011

An. Bras. Dermatol.

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“…4,5 The presenting acuity, as noted in our series, is dependent on the optic nerve compromise by its association with VER and color vision deficits. It is found to be unrelated to the duration of illness or amount of Eye proptosis.…”

Section: Discussionsupporting

confidence: 56%

“…4,18 The corneal curvature changes observed in our cases are secondary to either the pressure effect of the tumor or effect of the lid and prolonged exposure due to proptosis. In a study it was found that despite the removal of a long-standing cavernous hemangioma there was a persistent flattening of the posterior pole, which was attributed to scleral remodeling.…”

Section: Discussionmentioning

confidence: 72%

“…There have been a few sporadic studies involving small numbers addressing visual acuity (VA), refractive error, fundus, or visual-field changes in specific orbital tumors, but the literature lacks a comprehensive larger study of all the visualfunction parameters and their interrelations. [3][4][5][6][7] This study aims to evaluate the effect of an orbital tumor on the visual-function parameters, with emphasis on the factors predictive of visual outcome after surgery.…”

Section: Introductionmentioning

confidence: 99%

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Visual function alterations in orbital tumors and factors predicting visual outcome after surgery

Singh

Pushker

Bajaj

et al. 2011

Eye

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Purpose To study the effect of orbital tumors on visual functions and highlight the factors predictive of visual outcome after surgery. Methods A prospective interventional study compared visual function parameters and fundus changes, before and after surgery, in eyes having well-defined orbital tumors with the normal fellow eye. These included visual acuity (VA), refractive error, keratometry changes, color vision, Goldmann visual field (GVF), and visual evoked response (VER). Results In total 28 cases (age range 7-56 years), of which the majority of tumors were vascular (46%) and lacrimal (18%) in origin, had a mean VA of 0.54±0.33 in the affected eye, which improved postoperatively to 0.66 ± 0.31 (P ¼ 0.002). The affected eye had a median refractive error of þ 0.00 DS (À2.00 to 5.13), which was significantly more hyperopic than the normal eye (median þ 0.00 DS; range À1.25 to þ 1.63 DS) and normalized postoperatively. Keratometry showed higher astigmatism in the involved eye (P ¼ 0.004). The fundus showed disc pallor, edema, and/or choroidal folds, of which disc edema resolved in all cases after surgery. In all, 40% of the affected eyes had a deficient color vision and this partially improved postoperatively (P ¼ 0.25). GVF had abnormalities in 10 cases, half of which normalized postoperatively (P ¼ 0.04). The VER of affected eyes had a mean amplitude of 8.91 ± 4.59 lv and latency of 116.3 ± 14.7 ms, with improvement after surgery (P ¼ 0.005 and 0.001, respectively). Conclusion Orbital tumors adversely affected visual functions. The presenting acuity depended on disc changes, color vision abnormalities, and prolonged VER latency. The postoperative VA depended on VA at presentation, amount of proptosis, degree of hyperopia, and clinically significant VER abnormalities.

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“…Fonksiyonel organ tehdidi, İH'lerin lokalizasyonuna göre değişmektedir (Tablo 1). Periorbital bölgeye yerleşen İH'ler görme aksını bloke ederek ambilopiye (%43-60) neden olurlar 15 . Göz küresine bası yapan İH'ler astiğmat oluşumuna, orbital kas tutulumu şaşılığa yol açar.…”

Section: Komplikasyonları Nedir?unclassified

Infantile Hemangioma

Ersoy‐Evans¹

2011

Turkderm

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Orbit and eyelid hemangiomas: Is there a relationship between location and ocular problems?

Cited by 39 publications

References 18 publications

Hemangiomas periorbitários: necessidade de conduta ativa - relato de dois casos

Hemangiomas periorbitários: necessidade de conduta ativa - relato de dois casos

Visual function alterations in orbital tumors and factors predicting visual outcome after surgery

Infantile Hemangioma

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