ABSTRACT
Vascular tumors of the retina and choroid can be seen occasionally. In the following article, the key clinical and diagnostic features of the major retinal and choroidal vascular tumors, their systemic associations, and the literature pertaining to the most currently available treatment strategies are reviewed.
ABSTRACT
PURPOSE: To report the clinical result of pars plana vitrectomy (PPV) as the primary treatment in a patient with multiple bilateral retinal capillary hemangiomas (RCH) accompanying epiretinal membrane (ERM). CASE SUMMARY: A 17-year-old female patient visited our clinic for decreased bilateral vision 4 days in duration. At the first visit, the vision in her right eye was 20/25 and, 20/100 in her left eye. Bilateral multiple retinal capillary hemangiomas were observed at the peripheral retina in both eyes on fundus examination, fluorescein angiography (FAG) and optical coherence tomography (OCT). ERM and associated macular edema (ME) were noted in her left eye. For her left eye, focal laser photocoagulation (PC) was performed 6 times. ME was decreased and her vision improved to 20/25. However, 3 months after the initial visit, her vision decreased to 20/400 accompanied with exacerbated ERM and ME. Therefore, PPV was performed in her left eye. ERM and associated ME were decreased and her vision improved to 20/25 after 18 months. PPV was performed in the right eye immediately after her vision worsened (best corrected visual acuity, BCVA 20/40) and ERM occurred. After 15 months later, vision in her right eye improved to 20/20 and ERM was also decreased.
Subject(s)
Adolescent , Female , Humans , Epiretinal Membrane , Fluorescein Angiography , Hemangioma, Capillary , Light Coagulation , Macular Edema , Retina , Retinaldehyde , Tomography, Optical Coherence , Visual Acuity , VitrectomyABSTRACT
PURPOSE: To report a case of retinal capillary hemangioma treated with verteporfin photodynamic therapy combined with intravitreal triamcinolone acetonide. METHODS: A 15-year-old female presented with metamorphopsia in the left eye for 7 days. Examination showed peripheral endophytic retinal capillary hemangioma, macular edema, and a best-corrected visual acuity of 20/50. The hemangioma and macular edema were treated with verteporfin photodynamic therapy and intravitreal triamcinolone acetonide. RESULTS: After 5 months of follow-up, involution of the hemangioma, reduction of macular edema, decrease of the feeder and draining vessel diameter, and improvement of best-corrected visual acuity to 20/25 was seen. CONCLUSIONS: This verteporfin photodynamic therapy combined with intravitreal triamcinolone acetonide appeared to cause involution of the hemangioma with reduction in macular edema and improvement in visual acuity.
Subject(s)
Adolescent , Female , Humans , Fundus Oculi , Glucocorticoids/administration & dosage , Hemangioma, Capillary/diagnosis , Injections , Photochemotherapy , Photosensitizing Agents/therapeutic use , Porphyrins/therapeutic use , Retinal Neoplasms/diagnosis , Tomography, Optical Coherence , Triamcinolone Acetonide/administration & dosage , Ultrasonography , Vitreous BodyABSTRACT
PURPOSE: Independently occuring retinal capillary hemangiomas are rare, and hemangioma associated with retinal detachment has not been reported in Korea. We report herein cases of independently occuring hemangioma associated with retinal detachment. METHODS: Three patients with the chief complaint of decreased visual acuity were underwent fundus examination, fluorescein angiogram, brain computed tomography, and then were diagnosed as retinal capillary hemangioma. Laser photocoagulation was performed as a primary therapy, and vitrectomy was subsequently performed as tractional retinal detachment developed later. RESULTS: Postoperatively, retina was reattached. CONCLUSIONS: Vitrectomy is an effective treatment for serous detachment in retinal hemangioma, but the surgery does not change the clinical course of hemangioma itself. Regular followup is necessary as hemangioma might recur and new lesions may appear.