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Surgical Dissection of Capillary HemangiomasAn Alternative to Intralesional Corticosteroids
Robin M. Deans, MD;
Gerald J. Harris, MD;
Jane D. Kivlin, MD
Arch Ophthalmol. 1992;110(12):1743-1747.
Abstract
• Intralesional corticosteroids are often successful in reducing the size of functionally significant capillary hemangiomas. While they may have a better benefit-risk ratio than some earlier treatment methods, a number of serious complications have been reported recently. We believe these resulted from the hemodynamic continuity of capillary hemangiomas with the orbital and systemic circulation and that intralesional injections are intravascular. Surgery has generally been avoided because capillary hemangiomas are not encapsulated and piecemeal resection can produce significant bleeding. In carefully selected patients, we have used a surgical approach that involves dissection on the tumor's surface without entering its substance. Hemangiomas were removed en bloc from five patients with insignificant blood loss and excellent anatomic restoration.
Author Affiliations
From the Sections of Ophthalmic Plastic and Reconstructive Surgery (Drs Deans and Harris) and Pediatric Ophthalmology (Dr Kivlin), Department of Ophthalmology, Medical College of Wisconsin, Milwaukee.
Footnotes
Accepted for publication July 13, 1992.
Read in part at the Annual Spring Meeting of the American Society of Ophthalmic Plastic and Reconstructive Surgery, Chatham, Mass, June 17, 1991.
Reprint requests to Eye Institute, Medical College of Wisconsin, 8700 W Wisconsin Ave, Milwaukee, WI 53226 (Dr Harris).
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