Abstract
We studied retrospectively 12 eyes with a solitary choroidal hemangioma in 12 patients over a period of 13 years. A peculiar, even hyperfluorescence of the tumor within the retinal venous phases occurred in all 12 cases. In all but four patients, laser therapy was performed to reduce subretinal fluid and partially destroy the tumor. Two of the three eyes without extensive retinal detachment or cystoid macular edema at the initial visit regained a final vision of 20/30 or better. The remaining 5 patients with the two major complications had a final vision of 20/80 or worse due to degenerative retinal changes. We believe that laser treatment is definitely advisable in the early stages of a circumscribed choroidal hemangioma.
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References
Augsburger J, Shields JA, Moffat PK. Circumscribed choroidal hemangiomas: long-term visual prognosis. Retina 1981; 1: 56–61.
Bonnet M. Cavernous hemangioma of the choroid. Clinical review of 10 cases. Ophthalmologica 1981; 182: 113–8.
Freyer H, Egerer I. Echography and histological studies in various eye conditions. Arch Ophthalmol 1977; 95: 1387.
Gass JDM. Fluorescein angiography. An aid in the differential diagnosis of intraocular tumors. Int Ophthalmol Clin 1972; 12: 85–120.
Gass JDM. Differential diagnosis of intraocular tumors. A stereoscopic presentation. St Louis, CV Mosby, 1974; 113–38.
Gass JDM. Stereoscopic atlas of macular disease; diaglnosis and treatment. 3rd ed St Louis, CV Mosby, 1987; 172–6.
Greber H, Wessing A, Alberti W, Scherer E. Die erfolgreiche Behandlung eines Aderhauthamangioms mit Sekundarveranderungen bei Sturge-Weber-Syndrom. Klin Mbl Augenheilk 1984; 185: 276–8.
Greber H, Alberti W, Sherer E. Strahlentherapie der Aderhauthamangiome. Fortschr Ophthalmol 1985; 82: 450–2.
Jones IS, Cleasby GW. Hemangioma of the choroid: a clinicopathologic analysis. Am J Ophthalmol 1959; 48: 612–28.
Norton EW, Gutman F. Fluorescein angiography and hemangiomas of the choroid. Arch Ophthalmol 1967; 78: 121–5.
Ossoining KC, Blodi FC. Preoperative differential diagnosis of tumors with echography. III. Diagnosis of intraocular tumors. In: Blodi FC, ed Current concepts of Ophthalmology, St Louis, CV Mosby, 1974; 296.
Pitta CG, Shingleton BJ, Harris PJ, Regan CD. Solitary choroidal hemangioma. Am J Ophthalmol 1979; 88: 698–701.
Sanborn GE, Augsburger JJ, Shields JA. Treatment of circumscribed choroidal hemangiomas. Ophthalmology 1982; 89: 1374–80.
Watters EC, Hiles DA, Johnson BL. Cloverleaf skull syndrome. Am J Ophthalmol 1973; 76: 716.
Witschel H, Font LR. Hemangioma of the choroid. A clinico pathologic study of 71 cases and a review of the literature. Surv Ophthalmol 1976; 20: 415–31.
Zhang CF, Hu C, McMeel W. Long term follow-up of solitary hemangioma of the choroid. Ann Ophthalmol 1984; 16: 126–30.
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The study was performed at the Institute of Ophthalmology, University of Nijmegen.
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Bottoni, F., Tervaert, D.C. & Deutman, A.F. Fluorescein angiographic findings and results of laser treatment in circumscribed choroidal hemangioma. Int Ophthalmol 14, 259–265 (1990). https://doi.org/10.1007/BF00159861
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DOI: https://doi.org/10.1007/BF00159861