[Amblyopia and peri-ocular capillary hemangioma of infancy: screening and clinical course before and after surgery].
OBJECTIVE
The analysis of visual complications provoked by infantile periocular hemangiomas and the understanding of their evolution before and after surgery.


METHODS
and methods: A retrospective study including 30 children (31 eyes) who were operated for a periocular hemangioma with a surgical technique with the aid of ultrasonic scalpel Cavitron. Ophthalmological evaluation before and after surgery included: appreciation of the palpebral occlusion, strabismus, ocular motility, objective refraction and amblyopia.


RESULTS
Surgical operation was performed within an average age of 9.5 months. The excision of periocular hemangiomas was effective on the release of the visual axis and on the amblyopia: 51.7% (16 eyes) of palpebral occlusion before surgery against 6.4% (2 eyes) after surgery and 77.4% (24 eyes) of amblyopia before surgery against 38.7% (12 eyes) after surgery. The anisometropia decreased after surgery. The ocular motility and the strabismus also improved.


CONCLUSIONS
Surgical excision of periocular hemangiomas with the aid of ultrasonic scalpel is an effective technique presenting few complications. This surgery can be suggested early in infancy. It has a very good result in the release of the visual axis and the astigmatism which aided the reeducation of the amblyopia.
Momtchilova
M
M
Service d'Ophtalmologie, Hôpital d'Enfants Armand Trousseau, 26, rue du Docteur Arnold Netter, 75012 Paris, France. secretariat.ophtalmologie@trs.ap-hop-apris.fr
Pelosse
B
B
Diner
P-A
PA
Vazquez
M-P
MP
Laroche
L
L
D000550:Amblyopia / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005142:Eyelid Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006391:Hemangioma / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007223:Infant; D012189:Retrospective Studies