The Egyptian Journal of Cataract and Refractive Surgery

ORIGINAL ARTICLE
Year
: 2016  |  Volume : 22  |  Issue : 2  |  Page : 42--49

β-Blocker versus triamacinolone acetate in the treatment of infantile periocular hemangioma


Mona Abdel Kader, Ayman Mohamed Fawzy 
 Masnoura Ophthalmic Center, Mansoura University, Masnoura, Egypt

Correspondence Address:
Mona Abdel Kader
Masnoura Ophthalmic Center, Mansoura University, Masnoura, 35516
Egypt

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.


How to cite this article:
Kader MA, Fawzy AM. β-Blocker versus triamacinolone acetate in the treatment of infantile periocular hemangioma.Egypt J Cataract Refract Surg 2016;22:42-49


How to cite this URL:
Kader MA, Fawzy AM. β-Blocker versus triamacinolone acetate in the treatment of infantile periocular hemangioma. Egypt J Cataract Refract Surg [serial online] 2016 [cited 2017 Jun 29 ];22:42-49
Available from: http://www.jcrs.eg.net/article.asp?issn=1687-6997;year=2016;volume=22;issue=2;spage=42;epage=49;aulast=Kader;type=0