Objective: The goal of the study was to assess the affect of early surgical resection of capillary hemangiomas on the induced astigmatism of infants. Design: Cohort study. Participants: Three infants younger than 9 months of age are included. Intervention: Total resection of the astigmatism- inducing hemangiomas was performed. Main Outcome Measures: Refractive change in the eye operated on was measured and the cosmetic results were observed. Results: Preoperative and postoperative cylinder reduction in the three patients were 8 diopters (D) to 0 D, 3 D to 0 D, and 4.5 D to 1 D, respectively. All patients had excellent cosmetic results, and there were no postoperative complications. Conclusions: Surgical resection of adnexal hemangiomas in carefully selected infants can lead to excellent cosmetic results. If the mass-induced pressure on the infant sclera is relieved at a young enough age, anisometropia and resultant amblyopia can be eliminated.
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