SUCCESSFUL RESOLUTION OF ENDOPHYTIC OPTIC DISK HEMANGIOMA BY PHOTODYNAMIC THERAPY

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Abstract

Purpose:

To report the successful resolution of an endophytic optic disk hemangioma (ODH) by photodynamic therapy.

Methods:

Case report.

Results:

A 48-year-old man presented with endophytic ODH in his right eye. His best-corrected visual acuity was 1.2 in the right eye, but there was a serous retinal detachment with exudations extending from the tumor. Two intravitreal injections of bevacizumab were given with an interval of 6 months; however, the size of the ODH continued to increase and the best-corrected visual acuity decreased from 1.2 to 0.2. One year after the last injection of bevacizumab, 2 sessions of photodynamic therapy were performed with an interval of 4 months. The follow-up examination 2 years after the second photodynamic therapy showed that the ODH was reduced in size and its activity was low. The best-corrected visual acuity remained at 0.3.

Conclusion:

The findings indicate that photodynamic therapy can be an effective therapy for eyes with an ODH.

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