Patient History: A 4-month-old female presents with an occlusive vascular lesion involving the right upper eyelid resulting in ptosis. Past Ocular History: A strawberry-like, compressible area was first noted on the right upper eyelid within weeks of a normal delivery. The lesion has increased in size over the past three months. An intralesional injection of steroid was done without any resultant decrease in the size of the mass. Topical and systemic steroid therapies were attempted thereafter.
On oral prednisone for almost a month, the child became increasingly irritable and there was no noted decrease in the size of the lesion. Medical History: Recent otitis media was treated with amoxicillin. The infant has two small hemangiomas on the toes. Medications: Topical clobetasol cream (0.05%) applied generously to the right upper lid twice a day. Family and Social History: Noncontributory…