Capillary Hemangioma Presenting as a Scleral Vascular Lesion in a Child. Issue 5 (September 2019)

• Record Type: Journal Article
• Authors: Bradfield, Yasmin; Burkat, Cat N.; Albert, Daniel M.; Potter, Heather A.D.
• Is Part Of: Ophthalmic plastic and reconstructive surgery. Volume 35:Issue 5(2019)
• Publication Date: 2019-09
• Subjects: Eye -- Surgery -- Periodicals; Ophthalmic plastic surgery -- Periodicals; Reconstructive Surgical Procedures -- Periodicals; Ophthalmologic Surgical Procedures -- Periodicals; Ophthalmology -- Periodicals; Surgery -- Periodicals; 617.70592
• DOI: 10.1097/IOP.0000000000001443
• Languages: English
• ISSNs: 0740-9303

Abstract

Abstract : A 7-year-old healthy girl presented for an evaluation of a left vascular scleral mass. The lesion appeared spontaneously with no history of trauma, coagulopathy, or topical medication use. It was nontender, enlarging, and did not extend intraocularly. Her OS vision was 20/20, and the remainder of her eye examination was normal. Evaluation of the ocular mass included B-scan ultrasound, ultrasound biomicroscopy, anterior segment optical coherence tomography (OCT), and orbital MRI. The anterior segment OCT demonstrated vessels within the mass with no defined capsule. The orbital MRI confirmed a lesion isolated to the scleral layers of the globe, with low blood flow. The patient had a partial response to oral propranolol. Because the lesion vessels began to extend into her corneal endothelium, there was a concern for malignancy. A biopsy confirmed a benign intrascleral capillary hemangioma. Discontinuation of the propranolol demonstrated stability of the lesion 6 months later. Abstract : A rare presentation of a capillary hemangioma appeared as a new-onset ocular lesion in a 7-year-old child.