Universität zu Köln

Avgitidou, G., Koch, K. R., Cursiefen, C. and Heindl, L. M. (2015). Current aspects of eyelid, lacrimal and orbital surgery in childhood. Ophthalmologe, 112 (2). S. 102 - 110. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1433-0423

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Abstract

During childhood the spectrum of disorders of the eyelid, the lacrimal drainage system and the orbit as well as the subsequent therapeutic management differ from those in adults. This review outlines the clinical picture and treatment of the most common eyelid, lacrimal drainage and orbital diseases in childhood. The study comprises a PubMed literature review and own clinical results. The most common eyelid disorders in childhood include congenital malpositions, such as ptosis or entropium, which may require fast surgical correction in order to prevent amblyopia. For connatal dacryostenosis a step-by-step therapeutic approach is recommended: (1) conservative treatment using lacrimal sac massage, astringent eye and nose drops, (2) irrigation and probing of the nasolacrimal system and (3) irrigation, probing and silastic tube intubation under general anesthesia. Benign orbital lesions such as dermoid cysts can be removed at pre-school age. Using systemic beta blockers is a novel conservative approach in the treatment of capillary hemangioma, which should precede surgical interventions. Eyelid and orbital diseases during childhood may require fast surgical intervention to prevent amblyopia. Initial conservative treatment is recommended for connatal dacryostenosis and capillary hemangioma.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Avgitidou, G. UNSPECIFIED UNSPECIFIED UNSPECIFIED Koch, K. R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Cursiefen, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Heindl, L. M. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-413159
DOI:	10.1007/s00347-014-3054-8
Journal or Publication Title:	Ophthalmologe
Volume:	112
Number:	2
Page Range:	S. 102 - 110
Date:	2015
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1433-0423
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ENDOTHELIAL GROWTH-FACTOR; INFANTILE HEMANGIOMAS; CAPILLARY HEMANGIOMA; THERAPY; PROPRANOLOL; TUMORS; AMBLYOPIA; CHILDREN; LESIONS Multiple languages Ophthalmology Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/41315