[Serous macular detachment associated with circumscribed choroidal hemangioma: a case report]. / Decolare seroasa maculara asociata hemangiomului coroidian circumscris--apropo de un caz clinic.

INTRODUCTION: Choroidal hemangiomas are benign vascular hamartomas that typically present from second to fourth decade of life, when they can cause visual disturbance due to exudative retinal detachment. They represent uncommon benign choroidal vascular tumors, usually occuring sporadically in the absence of systemic disease. MATERIAL AND METHODS: We report the case of a young female patient, presenting a juxtapapillary circumscribed choroidal haemangioma complicated with serous macular detachment. The patient underwent photodynamic therapy with verteporfin (PDT). Systematic follow-up using ophthalmoscopy, ultrasonography, Fluorescein angiography and Indocyanine green angiography was performed. RESULTS: The patient presented regression with flattening of tumour, resolution of the subretinal fluid, and significant improvement of vision. DISCUSSIONS, CONCLUSIONS: Mostly asymptomatic, the choroidal hemangiomas can be associated with serous retinal detachment, leading to reduced vision and metamorphopsia; in those cases, the long term visual prognosis is poor, even in adequately treated patients. PDT is effective in eliminating the subretinal fluid and improving vision in patients with circumscribed choroidal hemangioma.

[Eales disease. Idiopathic retinal vasculopathy--diagnostic and therapeutic problems]. / Boala Eales. Vasculita retiniana idiopatica provocare diagnostica si terapeutica.

The Eales disease is a retinal idiopathic vasculitis which has raised big problems in diagnosis and especially in therapeutic approach. The complications secondary to neovascularization as well as fibrovascular proliferation has surpassed for many times the therapeutical possibilities from nowadays.

[Pain in Ophthalmology]. / Durerea în oftalmologie.

The pain, one of the most common and unpleasant symptoms of human experience, is a psychophysiological phenomenon made of physical (elementary) pain and psychological pain. The ocular pain may result from stimulation of trigeminal nerve fibres anywhere within the eye, the surrounding tissues, the deep orbit, and the base of the middle and anterior cranial fossae. An ocular pain which is accompanied by another ocular signs can easily suggest a diagnosis for ophthalmologist, but a deep pain which involves the frontal bone and the deep orbit often asks an interdisciplinary consultation.