PHOTODYNAMIC THERAPY AND VITRECTOMY FOR A LARGE OPTIC NERVE HEMANGIOMA WITH NEOVASCULARIZATION AND RETINAL DETACHMENT: A CLINICOPATHOLOGIC CORRELATION


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Abstract

Purpose:To report the clinicopathologic correlation of a young man with a von Hippel-Lindau disease–associated peripapillary hemangioblastoma and its satisfactory response to a combination of photodynamic therapy (PDT) and vitrectomy.Design:Clinicopathologic correlation.Methods:We studied the case of a 14-year-old boy with an optic nerve mass and large inferior exudative retinal detachment complicated by a significant tractional component from extensive secondary neovascularization over the lesion.Results:A juxtapapillary hemangioblastoma with secondary neovascularization was documented by clinical examination, fundus photography, and optical coherence tomography. A von Hippel-Lindau gene mutation was detected. The patient responded satisfactorily to a combination of PDT and vitrectomy.Conclusions:A staged approach to treatment of peripapillary hemangioblastoma with a combination of PDT and vitrectomy may be favorable to therapy with one modality.

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