An anatomically based approach to intralesional corticosteroid injection for eyelid capillary hemangiomas

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6 Citations (Scopus)

Abstract

■ BACKGROUND AND OBJECTIVE: To describe a corticosteroid injection technique for eyelid capillary hemangiomas that minimizes the risk of a central retinal artery occlusion and is based on anatomic, physiologic, and pharmacologic rationales. ■ PATIENTS AND METHODS: In this retrospective, non-comparative, interventional case series, the medical records of 50 eyes of 50 patients over a 10-year period were reviewed for retinal complications associated with the described injection technique. ■ RESULTS: Ophthalmoscopy showed no retinal complications in the 50 eyes treated with this injection technique. ■ CONCLUSION: The risk of central retinal artery occlusion from retrograde embolization can be minimized by using an anatomically based injection technique that prevents canalization of an artery and avoids injection pressures exceeding the mean systemic arterial pressure.

Original languageEnglish
Pages (from-to)190-195
Number of pages6
JournalOphthalmic Surgery Lasers and Imaging
Volume43
Issue number3
DOIs
StatePublished - May 1 2012

Fingerprint

Capillary Hemangioma
Intralesional Injections
Eyelids
Adrenal Cortex Hormones
Injections
Retinal Artery Occlusion
Ophthalmoscopy
Medical Records
Arterial Pressure
Arteries
Pressure

ASJC Scopus subject areas

  • Ophthalmology
  • Surgery

Cite this

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AU - Alabiad, Chrisfouad Raif

AU - Tse, David

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AB - ■ BACKGROUND AND OBJECTIVE: To describe a corticosteroid injection technique for eyelid capillary hemangiomas that minimizes the risk of a central retinal artery occlusion and is based on anatomic, physiologic, and pharmacologic rationales. ■ PATIENTS AND METHODS: In this retrospective, non-comparative, interventional case series, the medical records of 50 eyes of 50 patients over a 10-year period were reviewed for retinal complications associated with the described injection technique. ■ RESULTS: Ophthalmoscopy showed no retinal complications in the 50 eyes treated with this injection technique. ■ CONCLUSION: The risk of central retinal artery occlusion from retrograde embolization can be minimized by using an anatomically based injection technique that prevents canalization of an artery and avoids injection pressures exceeding the mean systemic arterial pressure.

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