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To the Editor.
—In a letter that appeared in the Archives (94:685, 1976), Dr Robert Magnuson observes and advises that some cavernous hemangiomas of the eyelid in infants are often best managed conservatively in contrast to the less than satisfactory results from surgery, sclerosing agents, or radiation. The case chosen for illustration shows a 6-month-old child with complete occlusion of the globe by a cavernous hemangioma of the upper lid. Granted that the prognosis for the lid per se is excellent, the primary and overriding concern is the potential for development of amblyopia. I would concur that in cases in which the pupil is not obscured, no treatment need be undertaken and normal visual acuity development is expected; however, occlusion of the pupil, as in other congenital cases of complete ptosis, dictates intervention. DeVencia and Lobeck (Arch Opthalmol 84:98-102, 1970), acknowledging the poor results of previous therapeutic measures, reported rapid
McLean EB. Untreated Hemangioma of the Eyelid. Arch Ophthalmol. 1976;94(8):1422–1423. doi:10.1001/archopht.1976.03910040290028