- Ophthalmic Surgery, Lasers and Imaging
- May/June 2012 - Volume 43 · Issue 3: 190-195
BACKGROUND AND OBJECTIVE:
To describe a corticosteroid injection technique for eyelid capillary hemangiomas that minimizes the risk of a central retinal artery occlusion and is based on anatomic, physiologic, and pharmacologic rationales.
PATIENTS AND METHODS:
In this retrospective, non-comparative, interventional case series, the medical records of 50 eyes of 50 patients over a 10-year period were reviewed for retinal complications associated with the described injection technique.
Ophthalmoscopy showed no retinal complications in the 50 eyes treated with this injection technique.
The risk of central retinal artery occlusion from retrograde embolization can be minimized by using an anatomically based injection technique that prevents canalization of an artery and avoids injection pressures exceeding the mean systemic arterial pressure.
From Bascom Palmer Eye Institute, Department of Ophthalmology, University of Miami Miller School of Medicine, Miami, Florida.
Presented at the Annual Scientific Symposium of the American Society of Ophthalmic Plastic and Reconstructive Surgery, October 21, 2009, San Francisco, California.
Supported by NIH center grant P30-EY014801 and by an unrestricted grant from Research to Prevent Blindness, Inc., New York, New York.
The authors have no financial or proprietary interest in the materials presented herein.
Address correspondence to David T. Tse, MD, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, 900 NW 17th Street, Miami, FL 33136. E-mail: firstname.lastname@example.org
Received: July 29, 2011
Accepted: February 21, 2012
Posted Online: March 22, 2012