Department of Ophthalmology, Nationwide Children's Hospital, 700 Children's Drive ED5 F2, Columbus, OH 43205, USA.
Department of Ophthalmology, Nationwide Children's Hospital, 555 South 18th Street, Suite 4C, Columbus, OH 43205, USA.
Pediatr Clin North Am. 2014 Jun;61(3):541-53. doi: 10.1016/j.pcl.2014.03.007. Epub 2014 Mar 28.
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.
婴儿血管瘤是儿童中最常见的良性肿瘤。淋巴管瘤是良性错构瘤性血管肿瘤。当病变位于眼周区域时，两种病变都会成为问题。儿科医生必须熟悉每种病变的特征，这可能需要转介给眼科医生或其他专家进行评估，包括视轴阻塞，这可能导致受影响眼睛的弱视。其他潜在并发症包括眼球突出、眼球运动受限、视神经损伤以及眼睑闭合不良，伴有或不伴有角膜表面疾病。所有眼周血管瘤或淋巴管瘤患儿均应转介至眼科医生进行进一步评估。
