Orbit and eyelid hemangiomas: is there a relationship between location and ocular problems?
OBJECTIVE
Infantile hemangiomas of the orbit and eyelid can cause serious ocular problems, such as astigmatism and amblyopia. Magnetic resonance imaging and ultrasonography are the best ways to establish the diagnosis and to evaluate the extent of the lesion. Our goal was to correlate the lesion location with the visual impairment.


METHODS
This was a retrospective study (1992-2004) of 63 cases of orbit and eyelid hemangiomas (13 male, 50 female patients; ages: 1 day old to 3 years old). Imaging methods were magnetic resonance imaging or computed tomographic-scanning and color Doppler ultrasonography. The anatomic definition was palpebral, extraconal, and extraconal with intraconal involvement. All patients had ophthalmologic evaluations.


RESULTS
The hemangiomas were palpebral (n = 32) (normal vision: 19; amblyopia and/or astigmatism: 13), extraconal, and extraconal with intraconal involvement (n = 31) (normal vision: 4; amblyopia and/or astigmatism: 27).


CONCLUSIONS
This study was small; a prospective study is needed.


CONCLUSIONS
Orbit and eyelid hemangiomas need to be carefully evaluated by an ophthalmologist. Extraconal and intraconal hemangiomas are more frequently associated with ocular involvement. However, ocular complications can occur in palpebral lesions.
Dubois
Josée
J
Department of Medical Imaging, Ste-Justine Mother-Child University Hospital, Montreal, Quebec, Canada. josee-dubois@ssss.gouv.qc.ca
Milot
Jean
J
Jaeger
Brigitte Ingrid
BI
McCuaig
Catherine
C
Rousseau
Elisabeth
E
Powell
Julie
J
D000550:Amblyopia / Q000209:etiology*; D001251:Astigmatism / Q000209:etiology*; D002675:Child, Preschool; D005142:Eyelid Neoplasms / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006391:Hemangioma / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009918:Orbital Neoplasms / Q000150:complications* / Q000175:diagnosis*; D012189:Retrospective Studies