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- Sun Feb 23, 2003 12:03 pm
I have a 3yr male child first seen by me 9 months back with lt. eye proptosis. CT revealed 1*1 cm.retro bulber lesion with marked cantrast enhancement involving lat. rectus. Lat. orbitotomy excision of tumor was done. Histopath revealed features of haemangioma. 15 days post surgery local triamcenelone 10 mg 3 injections 4wks. appart given. Now pt presented with recurrent orbital mass. CT shows huge catrast enhancing mass involing entire lat. rectus medialy displacing opic nerve also.
I am looking for comments and suggestions regarding management.
Dr Deepak Agrawal
e mail: firstname.lastname@example.org
| Dr. Yasser Mokhtar
- Sun Feb 23, 2003 8:36 pm
Dear Dr. Agrawal,
Thank you very much for using our website.
Not being an ophthalmologist or a pediatrician, i searched the electronic litterature and found some information about orbital hemangiomas in children.
Because the majority of hemangiomas require no intervention, the decision to treat should be based on location and depth of the lesion, age of the patient, and likelihood of complication.
Indications for intervention in cases of orbital hemangiomas include:
2. Compressive optic neuropathy.
3. Proptosis with globe exposure.
Treatment modalities include
1. Intralesional corticosteroid injection.
2. Systemic corticosteroids.
4. Laser therapy.
5. Systemic interferon.
6. Surgery. Surgery should be considered for localized, noninfiltrative lesions, or for those that fail to respond to corticosteroids
8. Embolization can be used to treat cutaneous hemangiomas that have not responded to medical therapy.
This is a summary of what i found.
Once more, thank you very much for using our website http://doctorslounge.com and i hope that this information helped.
Yasser Mokhtar, M.D.