Periocular hemangiomas and lymphangiomas.
Infantile hemangiomas are the most common benign tumor of childhood. Lymphangiomas are benign hamartomatous vascular tumors. Both lesions can be problematic when located in the periocular region. Pediatricians must be familiar with the characteristics of each which would necessitate referral to an ophthalmologist or other subspecialist for evaluation, including obstruction of the visual axis which can lead to amblyopia of the affected eye. Additional potential complications include proptosis, ocular motility limitation, optic nerve injury, and poor eyelid closure with or without corneal surface disease. All children with periocular hemangiomas or lymphangiomas should be referred to an ophthalmologist for further evaluation.
Department of Ophthalmology, Nationwide Children's Hospital, 700 Children's Drive ED5 F2, Columbus, OH 43205, USA. Electronic address: rachel.reem@nationwidechildrens.org.
Rachel E
RE
Reem
Department of Ophthalmology, Nationwide Children's Hospital, 555 South 18th Street, Suite 4C, Columbus, OH 43205, USA.
Richard P
RP
Golden
D000550:Amblyopia / Q000517:prevention & control; D002648:Child; D005134:Eye Neoplasms / Q000473:pathology* / Q000628:therapy; D006391:Hemangioma / Q000473:pathology* / Q000628:therapy; D006801:Humans; D008202:Lymphangioma / Q000473:pathology* / Q000628:therapy; D015911:Sclerotherapy
Amblyopia; Orbital lymphatic malformation; Percutaneous sclerotherapy; Periocular hemangioma; Venous-lymphatic malformation