Outcome of low dose intralesional steroid injections in superficial lnfantile capillary hemangioma [SICH] of eyelid

ABSTRACT

To evaluate the outcome of low dose intralesional steroid injections used in superficial infantile capillary hemangioma [SICH] of eye lid. Prospective Study. This study was conducted at Department of Ophthalmology, Chandka Medical College Hospital Larkana from September 2001 to October 2011. Only, patients with congenital SICH involving eye lids with closure of visual axis were included in this study and SICH involving eye lids without closure of visual axis were excluded from study. The diagnosis of disease was based on history and clinical examination. All the patients were treated by mixture of low dose intralesional steroids triamcinolone 20mg [0.5ml] and dexamethasone 4mg [1.0ml]. A total of three injections were given with interval of two months. After injection, the follow-up examinations were carried out at first week, every second month for six months and then annually. After treatment, outcome was recorded. The successful outcome was labeled when there was complete regression of lesion. Out of 37 patients 28[75.67%] were female and 9[24.32%] were male with female to male ratio of 3.11 and age range of 2 to 12 months. All the patients had unilateral growth; with left eye lid involvement in 22[59.45%] cases and right eye lid involvement in 15[40.54%] cases. The successful outcome seen was early regression of lesion in 24[64.86%] cases by age of 2.3 years and in 13[35.13%] cases by age of 3.1 years. The outcome of this study was that, early treatment of SICH of eye lid with intralesional steroid injections resulted reliable, quick, beneficial effects and good cosmetically functional eye lid by early involution of growth