Potent steroids have been used to treat flat or minimally raised vascular plaques of IH particularly at sites prone to ulcerations and disfigurement. Described adverse effects include localised atrophy, hypopigmentation, hypertrichosis and infections. Garzon et al. retrospectively studied the clinical effects and safety of ultrapotent topical corticosteroids (clobetasol propionate 0.05% in 27 infants, betamethasone dipropionate 0.05% in 4 and halobetasol propionate in 3 cases) in 34 children. The treatment was given for a period ranging from 4 weeks to 21 weeks. They found that 35% showed good response, 38% partial response and 27% no response. The authors found good safety profile for lesions at all sites, including the peri-ocular region.[57] Following the successful reports of topical timolol, topical steroids are less often prescribed in the current practice.