Ophthalmology

• Publisher: John Wiley and Sons
• Year: 2005
• Tongue: English
• Weight: 76 KB
• Volume: 36
• Category: Article
• ISSN: 0196-8092
• DOI: 10.1002/lsm.20166

✦ Synopsis

Methods: In 1997 a Vascular Anomalies service was established at the Royal Liverpool Children's Hospital, embracing paediatric surgery, interventional radiology, plastic surgery, laser therapy, orthopaedic surgery, dermatology and haematology. A monthly clinic is held with all relevant specialties in attendance to define the diagnosis and give advice on management. Results: A total of 1348 patients have been referred to the Vascular Anomalies Service. In approximately one third of these patients no treatment was recommended. Of the remainder, 806 received laser therapy AE intralesional steroids (haemangiomas 18% Portwine stains 38%); 42 have undergone sclerotherapy using ethanol, ethanolamine oleate, hypertonic saline and more recently alcohol. Surgical excision has been used infrequently.

Conclusion:

In our experience a multidisciplinary approach to evaluation and treatment is the key to successful management. It is clear from our increasing referrals from a wide geographical area that there is a great need for this type of clinical service in other centres.