Core Messages

• There are numerous benign and malignant tumors in the pediatric ocular region

• Capillary hemangioma of the eyelid is one of the most common eyelid tumors in neonates and toddlers and it is generally managed conservatively with observation unless there is strabismus or amblyopia. Oral or injection steroids can be used to reduce the tumor size

• Eyelid nevus tends to occur in the late childhood years, similar to cutaneous nevi elsewhere on the body

• The most common conjunctival tumor in childhood is the nevus.The nevus is often pigmented and cystic. In some instances it is completely clear (amelanotic). It rarely evolves into melanoma

• There are several benign and malignant intraocular tumors of childhood

• The benign intraocular tumors include retinal astrocytic hamartoma, retinal hemangioma (capillary, cavernous, and racemose hemangioma), vasoproliferative tumor, choroidal hemangioma, choroidal nevus, and many others. Intraocular medul-loepithelioma can be either benign or malignant

• The malignant intraocular tumors include retinoblastoma and choroidal melanoma as well as a few other rarer conditions

• Retinoblastoma is the most common intraocular malignancy of childhood. With proper management, life prognosis is excellent

• Chemoreduction and thermotherapy is most often employed for bilateral retinoblastoma management

• Enucleation is most often employed for unilateral retinoblastoma management, but chemoreduction with globe salvage can be achieved in some cases

• Most orbital tumors in childhood are benign

• The most common benign orbital tumor in childhood is the dermoid cyst

• Rhabdomyosarcoma is a malignant orbital tumor in childhood, requiring systemic chemotherapy and orbital radiotherapy once the diagnosis is established on biopsy

Was this article helpful?

0 0

Post a comment