Resolution of astigmatism after surgical resection of capillary hemangiomas in infants.

OBJECTIVE

The goal of the study was to assess the affect of early surgical resection of capillary hemangiomas on the induced astigmatism of infants.

DESIGN

Cohort study.

PARTICIPANTS

Three infants younger than 9 months of age are included.

INTERVENTION

Total resection of the astigmatism-inducing hemangiomas was performed.

MAIN OUTCOME MEASURES

Refractive change in the eye operated on was measured and the cosmetic results were observed.

RESULTS

Preoperative and postoperative cylinder reduction in the three patients were 8 diopters (D) to 0 D, 3 D to 0 D, and 4.5 D to 1 D, respectively. All patients had excellent cosmetic results, and there were no postoperative complications.

CONCLUSIONS

Surgical resection of adnexal hemangiomas in carefully selected infants can lead to excellent cosmetic results. If the mass-induced pressure on the infant sclera is relieved at a young enough age, anisometropia and resultant amblyopia can be eliminated.