Adult Capillary Hemangioma

Topical Treatment for Capillary Hemangioma of the Eyelid Using β-Blocker Solution

“…2 The treatment options include corticosteroids, interferon alfa-2a, laser therapy, embolization, immunomodulators, surgery, and systemic propranolol. 1,3,4 All therapeutic options are associated with adverse effects, some of which are serious. The treatment of a large capillary hemangioma on a child's left upper eyelid using topical ␤-blocker solution is reported.…”

Unusual case of acquired capillary hemangioma of the eyelid in an adult

“…[ 13 ] The clinical and histopathological findings are usually consistent with that of capillary hemangiomas typically seen in infancy. [ 8 ] Acquired capillary hemangiomas appear to be true capillary neoplasms and need to be carefully differentiated from neoplastic conditions such as Kaposi's sarcoma, angiosarcoma, acquired tufted angioma, and intravascular papillary endothelial hyperplasia. [ 3 6 ] A close differential is pyogenic granuloma, a common cutaneous vascular tumor, which grows rapidly and is commonly confused with a hemangioma.…”

“…Only eight such cases have been reported in the literature till date. [ 2 3 4 5 6 7 8 ] We report the case of a 25-year-old female with acquired capillary hemangioma of the left lower eyelid treated by cutting diathermy followed by reconstruction of the cutaneous and cartilaginous defect.…”

Current concepts in the management of periocular infantile (capillary) hemangioma

“…full-thickness eyelid necrosis have also occurred [13,[17][18][19][20]. Other rare, but serious, adverse effects include adrenal dysfunction [13], elevated intraocular pressure [8], and the much feared central retinal artery occlusion [21][22][23]. For large hemangiomas that may require highdose, long-term systemic steroids, there is an increased risk of developing hypertension, adrenal cortical insufficiency, immunosuppression, and gastrointestinal bleeding [24,25,26 ].…”

“…The incidence of amblyopia resulting from these complications is estimated to be as high as 60% [8,9]; therefore, early treatment is imperative in these high-risk periocular tumors to prevent permanent vision loss [10]. Other high-risk characteristics include size greater than 1 cm in largest diameter [9] and involvement of the orbit or subcutaneous tissues [11].…”