Intralesional triamcinolone acetonide injection on eyelid capillary hemangioma (case report)

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Putu Yuliawati
Made Rian Ananta

Keywords

Capillary Hemangioma, Intralesional Injection, Triamcinolone Acetonide

Abstract

Background: Infantile capillary hemangioma or benign hemangio-endotelioma or strawberry nevus is a most common benign vascular tumor in children. This study aims to report management two cases of eyelid capillary hemangioma with intralesional injection of triamcinolone acetonide (TA).


Methods: Case report. First case is 11th months old baby, girl, with mass on right superior eyelid since 5th month old that getting bigger. Mass are soft, blue to purple colored, with size of 30 x 30 x 20 mm, obvious border, refined surface, fixated to beneath structure, and there were dilated blood vessels visible from anterior surface. Second case is 1st month old baby with mass on left superior eyelid since a week after birth. On examination found soft mass with blue violet colour, size 30x30x5mm, smooth surface, fixated, dilated blood vessels at skin surface. There were multiple bright red marks with variated size such as 2x3x1mm, 2x2 x1mm, 3x2x1mm at eyelid skin surface. Both cases were given timol 0.5% for two months, but mass were getting bigger until closing visual axis. On both cases there were mechanical ptosis that close visual axis. Closing of visual axis causes deprivational amblyopia, so need intervention to reduces deprivation with intralesion TA injection at dose 3 mg/kg body weight.


Results: After TA intralesional injection, tumor size reduced on both cases so visual axis is opened, without side effect. Conclusion: triamcinolone acetonide intralesional injection on capillary hemangioma cases reduces tumor size on relatively short time, in the hope to maximally reduce deprivation amblyopia at visual development age.


Conclusion: triamcinolone acetonide intralesional injection on capillary hemangioma cases reduces tumor size on relatively short time, in the hope to maximally reduce deprivation amblyopia at visual development age.

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