Treatment of eyelid hemangioma in children

However, as the surface hemangioma develops, it invades both dermis and subcutaneous tissues, and the extent of subcutaneous invasion may exceed the surface area of the lesion, forming a raised mass with irregular shape. Spongiotic hemangioma: The border is not clear, soft and compressible, and the surface skin is unchanged or only slightly blue-purple, depending on the location and depth of the tumor. Strawberry capillary hemangioma: It is a capillary hemangioma. A small number of children are born with round or oval shaped blocks of varying sizes that are either fused or incompletely fused with scattered erythematous spots and are not elevated or slightly elevated above the skin surface. The surface is slightly rough, while most of them are only very small red dots that expand and fuse with each other to form a mass, often 3-4 mm above the skin, bright red, with many granular surfaces, similar to strawberries. The diagnosis of superficial and superficial hemangioma is not difficult, but the diagnosis of subcutaneous and deep hemangioma requires experience, and palpation is sponge-like, with or without penetrating purple tumor tissue. The margins are indistinct and there is no cystic membrane. Although the vast majority of ocular hemangiomas in children are not difficult to diagnose, most patients are seen late. Ocular hemangiomas in newborns can grow very quickly, and a hemangioma the size of a soybean at birth, left untreated, can invade the entire eyelid after 1 month. So it is precisely the timing of starting treatment that is decisive for prognosis. Approximately 2/3 of hemangiomas are detected at birth, so the correct time to start treatment is from the neonatal period. The reported treatments include: (i) surgery; (ii) cryotherapy; (iii) radiation and isotope therapy; (iv) sclerotherapy; (v) hormonal therapy; (vi) compression therapy; (vii) embolization of hemangiomas; and (viii) other treatments: (i) antitumor drugs, (ii) Chinese medicine, and (iii) constant magnetic field therapy. Our ophthalmology department adopts different treatment methods to treat hemangioma according to different hemangiomas and receives good results.