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Retinal capillary hemangioma treated with verteporfin photodynamic therapy and intravitreal triamcinolone acetonide.

Suh SC, Jin SY, Bae SH, Kim CG, Kim JW - Korean J Ophthalmol (2007)

Bottom Line: A 15-year-old female presented with metamorphopsia in the left eye for 7 days.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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, College of Medicine, Konyang University, and Konyang University Hospital, Myung Gok Eye Research Institute, Daejeon, Korea.

ABSTRACT

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.

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Related in: MedlinePlus

First visit (pre-treatment). (A) The left fundus reveals mild macular edema and hard exudates with tortuous dilated vessel. (B) Circumscribed endophytic retinal capillary hemangioma appears at the 5 o'clock periphery with a prominent dilated and tortuous feeding artery and draining vein. (C, D) Progressive and complete filling of the hemangioma and the retinal vein becomes prominent. (E) OCT image demonstrating cystic macular edema at first visit. (F) B-scan shows a well-demarcated endophytic retinal lesion without choroidal effects.
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Figure 1: First visit (pre-treatment). (A) The left fundus reveals mild macular edema and hard exudates with tortuous dilated vessel. (B) Circumscribed endophytic retinal capillary hemangioma appears at the 5 o'clock periphery with a prominent dilated and tortuous feeding artery and draining vein. (C, D) Progressive and complete filling of the hemangioma and the retinal vein becomes prominent. (E) OCT image demonstrating cystic macular edema at first visit. (F) B-scan shows a well-demarcated endophytic retinal lesion without choroidal effects.

Mentions: A 15-year-old female presented with metamorphopsia in the left eye for 7 days. Her best-corrected visual acuity (BCVA) was 20/20 in the right eye and 20/50 in the left eye. The intraocular pressure was within normal limits bilaterally, and the results of anterior segment examinations were unremarkable. The right fundus was normal. The left fundus revealed mild macular edema and hard exudates (Fig. 1A). At the 5 o'clock periphery lay a circumscribed exophytic retinal capillary hemangioma approximately 2.5 disc diameter (DD) with a prominent dilated and tortuous feeding artery and draining vein (Fig. 1B). Fluorescein angiography was performed, and fluorescein was evident in the dilated feeder arteriole (Fig. 1C, 1D). The retinal tumor had fine capillary filling, which rapidly became homogeneous (Fig. 1C).


Retinal capillary hemangioma treated with verteporfin photodynamic therapy and intravitreal triamcinolone acetonide.

Suh SC, Jin SY, Bae SH, Kim CG, Kim JW - Korean J Ophthalmol (2007)

First visit (pre-treatment). (A) The left fundus reveals mild macular edema and hard exudates with tortuous dilated vessel. (B) Circumscribed endophytic retinal capillary hemangioma appears at the 5 o'clock periphery with a prominent dilated and tortuous feeding artery and draining vein. (C, D) Progressive and complete filling of the hemangioma and the retinal vein becomes prominent. (E) OCT image demonstrating cystic macular edema at first visit. (F) B-scan shows a well-demarcated endophytic retinal lesion without choroidal effects.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2629681&req=5

Figure 1: First visit (pre-treatment). (A) The left fundus reveals mild macular edema and hard exudates with tortuous dilated vessel. (B) Circumscribed endophytic retinal capillary hemangioma appears at the 5 o'clock periphery with a prominent dilated and tortuous feeding artery and draining vein. (C, D) Progressive and complete filling of the hemangioma and the retinal vein becomes prominent. (E) OCT image demonstrating cystic macular edema at first visit. (F) B-scan shows a well-demarcated endophytic retinal lesion without choroidal effects.
Mentions: A 15-year-old female presented with metamorphopsia in the left eye for 7 days. Her best-corrected visual acuity (BCVA) was 20/20 in the right eye and 20/50 in the left eye. The intraocular pressure was within normal limits bilaterally, and the results of anterior segment examinations were unremarkable. The right fundus was normal. The left fundus revealed mild macular edema and hard exudates (Fig. 1A). At the 5 o'clock periphery lay a circumscribed exophytic retinal capillary hemangioma approximately 2.5 disc diameter (DD) with a prominent dilated and tortuous feeding artery and draining vein (Fig. 1B). Fluorescein angiography was performed, and fluorescein was evident in the dilated feeder arteriole (Fig. 1C, 1D). The retinal tumor had fine capillary filling, which rapidly became homogeneous (Fig. 1C).

Bottom Line: A 15-year-old female presented with metamorphopsia in the left eye for 7 days.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.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.

View Article: PubMed Central - PubMed

Affiliation: Department of Ophthalmology, College of Medicine, Konyang University, and Konyang University Hospital, Myung Gok Eye Research Institute, Daejeon, Korea.

ABSTRACT

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.

Show MeSH
Related in: MedlinePlus