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To the Editor.
—In reference to the letter by Robert H. Magnuson, MD, concerning the resolution of an untreated hemangioma, I would certainly agree that most hemangiomas around the face and eyes should be allowed to resolve without treatment, since the treatment may be more cosmetically damaging than the hemangioma. However, I would argue that one of the few cases in which the hemangioma should be treated would be in the case of the patient pictured, in which the vision in one eye is obstructed by the hemangioma. It would seem apparent from Fig 2 that the patient's eye is exotropic and likely to become more so with age. I also wonder what the visual acuity is in this eye and if it is not amblyopic.I strongly believe that a poorly seeing eye is too high a price to pay for a possible satisfactory cosmetic result and would urge
Frank B. Thompson. Untreated Hemangioma of the Eyelid. Arch Ophthalmol. 1976;94(8):1423. doi:10.1001/archopht.1976.03910040290029