Yap E Y, Bartley G B, Hohberger G G
Department of Ophthalmology, Mayo Clinic Rochester, Minnesota, USA.
Mayo Clin Proc. 1998 Aug;73(8):753-9. doi: 10.4065/73.8.753.
The pediatrician or family physician is usually the first person to examine an infant with a periocular capillary hemangioma. The physician should know that, in addition to being cosmetically disfiguring, capillary hemangiomas have the potential to cause serious ocular complications such as amblyopia, strabismus, proptosis, and optic atrophy. Prompt evaluation and management of periocular hemangiomas are essential in order to prevent permanent visual loss. Corticosteroids have been the mainstay in the treatment of patients with large periocular hemangiomas, but other therapeutic modalities such as radiation, interferon, and surgical excision also have been effective in selected patients. This review provides pediatricians and family physicians with information on the natural history, complications, and current management of periocular hemangiomas in infants.
儿科医生或家庭医生通常是首位检查患有眶周毛细血管瘤婴儿的人。医生应该知道，除了会造成容貌损毁外，毛细血管瘤还可能引发严重的眼部并发症，如弱视、斜视、眼球突出和视神经萎缩。为防止永久性视力丧失，对眶周血管瘤进行及时评估和处理至关重要。皮质类固醇一直是治疗大型眶周血管瘤患者的主要手段，但其他治疗方式，如放射治疗、干扰素治疗和手术切除，在特定患者中也已证明有效。本综述为儿科医生和家庭医生提供了有关婴儿眶周血管瘤的自然病程、并发症及当前治疗方法的信息。
