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Arch Pediatr Adolesc Med. 2007;161(10):1002.

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Denouement and Discussion: Periocular Hemangioma: An Eye-Opening Experience

Clinical presentation and results of ophthalmologic examination, ultrasonography, and magnetic resonance imaging were consistent with the diagnosis of a deep infantile hemangioma involving the right orbit and upper and lower eyelids, causing proptosis, lateral displacement of the globe, and complete obstruction of the visual axis. Treatment with oral corticosteroids (prednisolone; initial dose, 2 mg/kg/d) had been started at 10 weeks of age and was then increased 2 weeks later (to 2 x 6 mg/kg/d) because of inadequate response. However, the hemangioma continued growing, and by 14 weeks of age, her electroretinogram showed signs of right postretinal dysfunction. In view of this sight-threatening progress, a multidisciplinary decision was made for surgical intervention.

At the age of 17 weeks, the major bulk of the hemangioma (4.5 x 3 x 2 cm) was excised in a joint procedure by a pediatric plastic surgeon (D.D.) and an ophthalmic surgeon (Y.A.) (Figure 3). . . . [Full Text of this Article]

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