Capillary Hemangioma Follow-up

Updated: Oct 06, 2015
  • Author: Stuart Seiff, MD, FACS; Chief Editor: Hampton Roy, Sr, MD  more...
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Follow-up

Further Outpatient Care

Concerns must be reiterated about ensuring that children with potentially amblyogenic capillary hemangiomas obtain frequent assessments of their visual acuity and refraction. Treatment would be indicated if astigmatism is greater than 1.5-2 diopters or if there is occlusion of the visual axis.

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Further Inpatient Care

Young patients may require inpatient admission and monitoring if high doses of systemic steroids are administered.

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Inpatient & Outpatient Medications

Patients started on systemic steroids may need to be monitored continually on an outpatient basis until either an adequate response is seen or complications preclude its continuation.

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Prognosis

The prognosis for cosmetic and visual recovery is excellent if treatment is instituted at an appropriate time and careful attention is paid to the visual development. Most lesions involute by age 5 years.

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