Five children, previously treated for capillary haemangiomas of the eyelid and orbit, have been examined concerning the functional and cosmetic results of the treatment. Different principles of treatment have been applied (surgical, X-irradiation and systemic corticosteroid). All the children developed amblyopia in varying degrees in the affected eye, dependent on the localization of the tumour and duration of eyelid occlusion. They also developed persisted corneal astigmatism. The results of refraction, oculometric measurement and CT-scan are compared and discussed. From the results of the follow-up examination and the literature on the subject, we have attempted to give guidelines for the treatment of children with eyelid and orbital capillary haemangiomas.

Five children earlier treated for capillary hemangiomas of the eyelid and orbit have been examined for cosmetic and functional results of treatment as well as their ocular status. In all cases the optic axis has been obstructed for a varying period in the first year of life. Two patients got exceedingly amblyopic and 3 patients moderately amblyopic. The cosmetic result is satisfactory in three cases. Different treatments have been used in these cases, i.e. surgical, X-ray and corticosteroid. The most essential aspect of the treatment is to open the eyeslit so much that the optic axis is free and in this way try to prevent amblyopia.