1 year old boy with reddish swelling in the left lower lid since birth. Diagnosis Treatment modalities

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Capillary hemangioma. It is one of the most common benign orbital tumors of childhood. Mainly involves upper eyelid and can cause anisometropia and amblyopia. Although diagnosis is made clinically, imaging is required to delineate the spread. Typical course is increase in size initially followed by spontaneous resolution. Treatment is required if dere is Danger to vision loss Due to exposure keratopathy or optic neuropathy. Treatment modalities 1.beta blockers 2.steroids. 3.Surgical excision. As this hemangioma is in facial area it is very important to look for airway hemangiomas as dey are commonly associated with it. Search for association of PHACES syndrome.

agree with dr anand
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Looking like a case of large capillary Hemangioma of left lower eyelid. Treatment is 1 Involution may start from 3years onwards 2 Intralesional injection of steroids 3 Oral steroids or 4 systemic steroids 5 Propanolol 6 cryotherapy 7 Radiotherapy 8 Laser therapy 9 Interferon alpha

Capillary Hemangioma of Infancy. The location, reddish hue, dilated superficial vessels are classical. DO NOT WAIT for spontaneous resolution in such cases. This is large enough to obscure the visual axis and distort the globe causing astigmatism and amblyopia. Treatment Options: 1. Systemic Propranolol 2. Topical Timolol Gel 3. Intralesional Steroid (Triamcinolone Acetate) My advice is Systemic Propranolol: 1. 1 mg/kg body weight in 2-3 divided doses 2. One weekly review 3. If no systemic issues, increase to 2mg/kg body weight in 2-3 divided doses daily 4. Monthly review with paediatrician for systemic review 5. Minimum treatment duration is 3 months. 6. Once resolution / response is seen, taper the drug over a period of one month. 7. Can be combined with topical Timolol gel application. I have stopped Intralesional steroid: A. Slower response B. Hypopigmentation at site of injection C. Possible rare chance of central retinal artery occlusion especially on larger hemangiomas.

Thank you dr akshay for giving such a elaborate explanation
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Nevus flammeus,portwine stain or capillary haemangioma will need treatment as it obscures vision n may lead to amblyopia.Oral propranolol or topical timolol will b of help

I am sorry but this is not port wine stain or nevus flammeus.
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Capillary haemangioma r mst cmn periorbital tumours in children n cavernous r intraorbital in adults.spontaneous regression occurs by age.go fr intralesional steroids nly if vision threatening. rule out d other systemic disorders associated.

Lt eye lower lid hemangioma. Rx : may regress with advancing age . *Systemic propranolol in CONSULTATION with paediatrician. *Topical timolol gel on the lesion . * Intra lesion steroid inj.

Lt eye lower lid hemangioma. Rx : may regress with advancing age . *Systemic propranolol in CONSULTATION with paediatrician. *Topical timolol gel on the lesion . * Intra lesion steroid inj.

Congenital capillary haemangioma.

@@capillary hemangioma Treatment Beta blockers triamcinolone cryotherapy lasertherapy laser therapy

nicely explained by dr lalitha balla, dr tirumala devi, dr puneet anand & dr akshay nair...

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