β-Blocker versus triamacinolone acetate in the treatment of infantile periocular hemangioma | ||||
| The Egyptian Journal of Cataract and Refractive Surgery | ||||
| Volume 22, Issue 2, July 2016, Page 42-49 PDF (6.88 MB) | ||||
| DOI: 10.4103/JCRS.JCRS_1_17 | ||||
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| Authors | ||||
| Mona Abdel Kader* ; Ayman Mohamed Fawzy | ||||
| Abstract | ||||
| Purpose The aim of this study was to evaluate the effectiveness of systemic and intralesional β-blockers in the treatment of periocular infantile capillary hemangiomas and to compare the effect of intralesional triamcinolone acetonoid injection and β-blockers. Patients and methods Totally, 60 patients with infantile periocular hemangioma were included in the study and were divided into three groups. Group 1 included 20 patients treated with systemic β-blocker. Group 2 included another 20 patients treated with intralesional triamcinolone acetate. Group 3 included 20 patients treated with intralesional β-blocker. Results In group 1, 55% of patients showed excellent response, 30% of patients showed good response, 10% of patients showed fair response, and 5% of patients showed poor response. In group 2, 50% of patients showed excellent response, 35% of patients showed good response, 15% of patients showed fair response, and no patients showed poor response. In group 3, 40% of patients showed excellent response, 25% of patients showed good response, 25% of patients showed fair response, and 10% of patients showed poor response. Conclusion Systemic propranolol is a good alternative for treating periorbital infantile hemangiomas. Systemic propranolol is superior to intralesional steroid because systemic propranolol has fewer side effects. Propranolol provides a more safe and effective modality of treatment of periocular infantile capillary hemangioma with a lower incidence of systemic side effects. | ||||
| Keywords | ||||
| β-blocker; infantile periocular hemangioma; triamcinolone acetate | ||||
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