Non-involuting congenital haemangioma of the eyelid: successful treatment with fluroscopic ultrasound guided sclerotherapy and surgical excision. (February 2014)

• Record Type: Journal Article
• Authors: Christou, E; Parsi, K
• Is Part Of: Phlebology. Volume 29:Number 1(2014)
• Page Start: 4
• Page End: 8
• Publication Date: 2014-02
• Subjects: Veins -- Diseases -- Periodicals; 616.14
• DOI: 10.1258/phleb.2012.012116
• Languages: English
• ISSNs: 0268-3555

Abstract

We present a case of non-involuting congenital haemangioma (NICH) of the right eyelid which was present at birth as a purpuric macule but increased in size to cause significant obstruction of vision. At four years of age the lesion was treated with fluroscopic ultrasound-guided sclerotherapy using 0.5% sodium tetradecyl suphate foam and surgically debulked 16 days later. Histopathology was negative for glucose transporter-1 stain confirming the diagnosis. The residual segments were subsequently treated in three further sessions of sclerotherapy in the ensuing three years. This treatment approach resulted in a good cosmetic and functional outcome with no associated complications. To our knowledge, this is the first published case of a histologically confirmed NICH treated primarily with sclerotherapy.