en POLSKI
eISSN: 2719-3209
ISSN: 0023-2157
Klinika Oczna / Acta Ophthalmologica Polonica
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4/2018
vol. 120
 
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abstract:
Original paper

Refraction in children treated for infantile periocular haemangiomas

Anna M. Niwald
1
,
Mirosława Grałek
1
,
Katarzyna Piasecka
1
,
Artur Kobielski
2
,
Monika Daszyńska
1
,
Agnieszka Moll
1
,
Przemysław Przewratil
3

1.
Oddział Okulistyki Dziecięcej Uniwersyteckiego Centrum Pediatrii im. M. Konopnickiej, SP ZOZ Centralny Szpital Kliniczny Uniwersytetu Medycznego w Łodzi
2.
Zakład Diagnostyki Obrazowej Uniwersyteckiego Centrum Pediatrii im. M. Konopnickiej, SP ZOZ Centralny Szpital Kliniczny
3.
Klinika Chirurgii i Onkologii Dziecięcej Uniwersyteckiego Centrum Pediatrii im. M. Konopnickiej, SP ZOZ Centralny Szpital Kliniczny
Online publish date: 2019/02/27
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Aim
To assess refraction before and after treatment in children with periocular infantile haemangioma.

Material and methods
34 children (28 girls, 6 boys) with unilateral infantile haemangiomas at the stage of intense tumour proliferation, treated with propranolol or with combined therapy (propranolol, steroids, surgery) were enrolled. Refraction testing was performed using a hand-held “Retinomax” autorefractometer.

Results
The presence of refractive error before treatment was confirmed in 27 children, 24 of them had astigmatism (mean value 2.18 Dcyl). After treatment, refractive error was demonstrated in 15 children, including astigmatism (mean value 0.98 Dcyl) in 12 of them.

Conclusion
Periocular infantile haemangioma predisposes for refractive errors, especially astigmatism. Treatment of the tumor, undertaken at the intensive proliferation stage, effectively reduces refractive error and promotes its normalization.

keywords:

infantile periocular haemangioma, treatment, propranolol, refractive errors, astigmatism

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