Photodynamic Therapy for Juxtapapillary Retinal Capillary Hemangioma

Various treatment modalities have been described for retinal capillary hemangioma. Our purpose is to present a case of juxtapapillary retinal capillary hemangioma treated with photodynamic therapy. A 69-year-old woman with no previous ocular history presented with blurred vision and photopsias in th...

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Main Authors: Panagiotis G. Mitropoulos, Irini P. Chatziralli, Vasileios G. Peponis, Vasileia A. Tsiotra, Efstratios A. Parikakis
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Ophthalmological Medicine
Online Access:http://dx.doi.org/10.1155/2014/756840
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author Panagiotis G. Mitropoulos
Irini P. Chatziralli
Vasileios G. Peponis
Vasileia A. Tsiotra
Efstratios A. Parikakis
author_facet Panagiotis G. Mitropoulos
Irini P. Chatziralli
Vasileios G. Peponis
Vasileia A. Tsiotra
Efstratios A. Parikakis
author_sort Panagiotis G. Mitropoulos
collection DOAJ
description Various treatment modalities have been described for retinal capillary hemangioma. Our purpose is to present a case of juxtapapillary retinal capillary hemangioma treated with photodynamic therapy. A 69-year-old woman with no previous ocular history presented with blurred vision and photopsias in the right eye three months ago. At presentation, her best corrected visual acuity 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, well-circumscribed, elevated area with blood vessels, on the inferior margin of the right optic disc, as optic disc edema. Fluorescein angiography and angiogram with indocyanine green confirmed the diagnosis of juxtapapillary retinal capillary hemangioma. The patient was treated with photodynamic therapy with verteporfin and three months later her visual acuity was 6/7.5 in the right eye, while the lesion was slightly smaller. These findings remained stable at the one-year follow-up. In conclusion, photodynamic therapy offers promising anatomical and functional results for juxtapapillary retinal capillary hemangioma, providing visual acuity improvement or even stabilization and restriction of enlargement of the lesion.
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series Case Reports in Ophthalmological Medicine
spelling doaj-art-892dc220f0ce4f27a871a18c2d69e4872025-08-20T02:09:11ZengWileyCase Reports in Ophthalmological Medicine2090-67222090-67302014-01-01201410.1155/2014/756840756840Photodynamic Therapy for Juxtapapillary Retinal Capillary HemangiomaPanagiotis G. Mitropoulos0Irini P. Chatziralli1Vasileios G. Peponis2Vasileia A. Tsiotra3Efstratios A. Parikakis42nd Eye Clinic, “Ophthlmiatrion Athinon,” 26 Eleftheriou Venizelou Street, 10672 Athens, Greece2nd Eye Clinic, “Ophthlmiatrion Athinon,” 26 Eleftheriou Venizelou Street, 10672 Athens, Greece2nd Eye Clinic, “Ophthlmiatrion Athinon,” 26 Eleftheriou Venizelou Street, 10672 Athens, Greece2nd Eye Clinic, “Ophthlmiatrion Athinon,” 26 Eleftheriou Venizelou Street, 10672 Athens, Greece2nd Eye Clinic, “Ophthlmiatrion Athinon,” 26 Eleftheriou Venizelou Street, 10672 Athens, GreeceVarious treatment modalities have been described for retinal capillary hemangioma. Our purpose is to present a case of juxtapapillary retinal capillary hemangioma treated with photodynamic therapy. A 69-year-old woman with no previous ocular history presented with blurred vision and photopsias in the right eye three months ago. At presentation, her best corrected visual acuity 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, well-circumscribed, elevated area with blood vessels, on the inferior margin of the right optic disc, as optic disc edema. Fluorescein angiography and angiogram with indocyanine green confirmed the diagnosis of juxtapapillary retinal capillary hemangioma. The patient was treated with photodynamic therapy with verteporfin and three months later her visual acuity was 6/7.5 in the right eye, while the lesion was slightly smaller. These findings remained stable at the one-year follow-up. In conclusion, photodynamic therapy offers promising anatomical and functional results for juxtapapillary retinal capillary hemangioma, providing visual acuity improvement or even stabilization and restriction of enlargement of the lesion.http://dx.doi.org/10.1155/2014/756840
spellingShingle Panagiotis G. Mitropoulos
Irini P. Chatziralli
Vasileios G. Peponis
Vasileia A. Tsiotra
Efstratios A. Parikakis
Photodynamic Therapy for Juxtapapillary Retinal Capillary Hemangioma
Case Reports in Ophthalmological Medicine
title Photodynamic Therapy for Juxtapapillary Retinal Capillary Hemangioma
title_full Photodynamic Therapy for Juxtapapillary Retinal Capillary Hemangioma
title_fullStr Photodynamic Therapy for Juxtapapillary Retinal Capillary Hemangioma
title_full_unstemmed Photodynamic Therapy for Juxtapapillary Retinal Capillary Hemangioma
title_short Photodynamic Therapy for Juxtapapillary Retinal Capillary Hemangioma
title_sort photodynamic therapy for juxtapapillary retinal capillary hemangioma
url http://dx.doi.org/10.1155/2014/756840
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AT vasileiosgpeponis photodynamictherapyforjuxtapapillaryretinalcapillaryhemangioma
AT vasileiaatsiotra photodynamictherapyforjuxtapapillaryretinalcapillaryhemangioma
AT efstratiosaparikakis photodynamictherapyforjuxtapapillaryretinalcapillaryhemangioma