title: An anatomically based approach to intralesional corticosteroid injection for eyelid capillary hemangiomas.
abstract: OBJECTIVE
  To describe a corticosteroid injection technique for eyelid capillary hemangiomas that minimizes the risk of a central retinal artery occlusion and is based on anatomic, physiologic, and pharmacologic rationales.
  
  
  METHODS
  In this retrospective, non-comparative, interventional case series, the medical records of 50 eyes of 50 patients over a 10-year period were reviewed for retinal complications associated with the described injection technique.
  
  
  RESULTS
  Ophthalmoscopy showed no retinal complications in the 50 eyes treated with this injection technique.
  
  
  CONCLUSIONS
  The risk of central retinal artery occlusion from retrograde embolization can be minimized by using an anatomically based injection technique that prevents canalization of an artery and avoids injection pressures exceeding the mean systemic arterial pressure.
authors.affiliation: Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
authors.forename: David B
authors.initials: DB
authors.lastname: Samimi
authors.forename: Chrisfouad R
authors.initials: CR
authors.lastname: Alabiad
authors.forename: David T
authors.initials: DT
authors.lastname: Tse
mesh_terms: D001623:Betamethasone / Q000008:administration & dosage / Q000031:analogs & derivatives; D004359:Drug Therapy, Combination; D005142:Eyelid Neoplasms / Q000188:drug therapy* / Q000473:pathology; D005938:Glucocorticoids / Q000008:administration & dosage*; D018324:Hemangioma, Capillary / Q000188:drug therapy* / Q000473:pathology; D006801:Humans; D015552:Injections, Intralesional; D009887:Ophthalmoscopy; D012189:Retrospective Studies; D016896:Treatment Outcome; D014222:Triamcinolone Acetonide / Q000008:administration & dosage
chemical_list: D005938:Glucocorticoids; C018230:betamethasone acetate phosphate; C028994:betamethasone sodium phosphate; D001623:Betamethasone; D014222:Triamcinolone Acetonide