title: Orbit and eyelid hemangiomas: is there a relationship between location and ocular problems?
abstract: 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.
authors.affiliation: Department of Medical Imaging, Ste-Justine Mother-Child University Hospital, Montreal, Quebec, Canada. josee-dubois@ssss.gouv.qc.ca
authors.forename: Josée
authors.initials: J
authors.lastname: Dubois
authors.forename: Jean
authors.initials: J
authors.lastname: Milot
authors.forename: Brigitte Ingrid
authors.initials: BI
authors.lastname: Jaeger
authors.forename: Catherine
authors.initials: C
authors.lastname: McCuaig
authors.forename: Elisabeth
authors.initials: E
authors.lastname: Rousseau
authors.forename: Julie
authors.initials: J
authors.lastname: Powell
mesh_terms: 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