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Infants with noninfected mucoceles should be treated with warm
compresses and topical antibiotics. If the lesion does not resolve,
or if the mucocele becomes infected, referral to a pediatric ophthalmologist
is indicated.
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Infants with hemangiomas involving the eyelids or periocular
structures should be referred to a pediatric ophthalmologist due
to the risk of amblyopia.
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Styes and chalazia should be treated initially with warm compresses.
Topical antibiotics may also be used. Most resolve with conservative
treatment in 1 to 2 months. If they do not, referral for incision
and drainage may be indicated.
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What Shouldn’t
Be Missed
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Infantile mucoceles are almost always associated with nasolacrimal
duct cysts. If these are large, they may cause respiratory difficulties.
These patients require prompt nasal endoscopy and removal of the
cysts.
+
- 1. Hemangioma. Hemangiomas
are vascular lesions that develop within the first few weeks of
life. They usually go through a fairly rapid growth phase over the
next few months, then slowly involute. The lesions themselves are
benign, but periocular hemangiomas can cause amblyopia, either due
to obstruction of vision or by inducing astigmatism (Figure 13–1).
- 2. Orbital dermoids. Orbital
dermoids are benign lesions that arise from entrapment of ectodermal
tissue between the growth plates during the embryological development
of the skull. They are most commonly located along the superolateral
orbital rim (Figure 13–2). They may rupture, which can
incite a marked inflammatory response.
- 3. Mucocele (dacryocele, dacryocystocele,
amniotocele). These lesions result from dilation of the lacrimal
sac in newborns with lacrimal obstruction. They present as blue-tinged
masses overlying the lacrimal sac between the eye and ...