Treatment of an eyelid infantile hemangioma with potential ptosis development

Background: Infantile hemangiomas are prevalent benign vascular tumors in children, frequently found on the head and neck, and pose a notable risk of visual impairment when situated on the eyelids. Case presentation: This report presents the case of a 9-year-old girl with a right upper eyelid hemangioma that has been present since the age of 3. Initially, she received intralesional triamcinolone acetonide injections, which resulted in limited improvement, prompting the decision for surgical excision. The procedure was conducted via an anterior approach, successfully excising the tumor. Following the surgery, the patient experienced no complications, and her condition significantly improved. This case underscores the critical need for prompt intervention in eyelid hemangiomas to avert visual complications. Conclusion: Management strategies for infantile periocular hemangiomas are influenced by factors such as the stage and location of the lesion, as well as the risk of functional impairment, with surgical excision proving to be an effective treatment option during the involution phase.