Photodynamic therapy for juxtapapillary retinal capillary hemangioma: A case report

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Abstract

Purpose

Various treatment modalities have been described for retinal capillary hemangioma therapy, including observation, laser photocoagulation, cryotherapy, radiotheraphy and vitreoretinal surgery. Our purpose is to present a case of juxtapapillary retinal capillary hemangioma treated with photodynamic therapy(PDT.

Methods

A 69-year-old woman with no previous ocular history presented with blurred vision and photopsias in the right eye since three months. The patient underwent a thorough ophthalmological examination, including visual acuity measurement by means of Snellen charts, slit-lamp examination, intraocular pressure(IOP) measurement and dilated fundoscopy.

Results

At presentation, her best corrected visual acuity (BCVA) was 6/9 in the right eye and 6/6 in the left eye. The anterior segment was totally normal and IOP was normal in both eyes as well. Dilated fundoscopy revealed a yellowish, elevated area with blood vessels, on the inferior margin of the right optic disc, as optic disc edema. Fluorescein angiography and angiogram with indocyanin green confirmed the diagnosis of juxtapapillary retinal capillary hemangioma. The patient was treated with PDT with verteporfin and three months later her visual acuity was 6/7.5 in the right eye and the lesion was slightly smaller.

Conclusion

Retinal capillary hemangioma should be included in the differential diagnosis of optic disc edema. PDT offers promising results as far as anatomical and functional results, providing visual acuity improvement or even stabilization and restriction of enlargement of the lesion.

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