25-Gauge Vitrectomy Combined with Half-Fluence Photodynamic Therapy for the Treatment of Juxtapapillary Retinal Capillary Hemangioma: A Case Report

A rare case of juxtapapillary retinal capillary hemangioma (JRCH) with tractional macular detachment that was managed successfully with minimally invasive 25-gauge vitreoretinal surgery, followed by two sessions of half-fluence photodynamic treatment (PDT) with good visual outcome, is presented. A 1...

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Bibliographic Details
Published in:Case reports in ophthalmology Vol. 5; no. 2; pp. 162 - 167
Main Authors: Mariotti, Cesare, Giovannini, Alfonso, Reibaldi, Michele, Nicolai, Michele, Saitta, Andrea
Format: Journal Article
Language:English
Published: Basel, Switzerland S. Karger AG 29.05.2014
Karger Publishers
Subjects:
25-Gauge vitrectomy
Juxtapapillary retinal capillary hemangioma
Photodynamic treatment
Published: May 2014
von Hippel-Lindau disease
Photodynamic treatment
25-Gauge vitrectomy
Juxtapapillary retinal capillary hemangioma
von Hippel-Lindau disease
ISSN:1663-2699, 1663-2699
Online Access:Get full text
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Summary:A rare case of juxtapapillary retinal capillary hemangioma (JRCH) with tractional macular detachment that was managed successfully with minimally invasive 25-gauge vitreoretinal surgery, followed by two sessions of half-fluence photodynamic treatment (PDT) with good visual outcome, is presented. A 13-year-old female patient had progressive deterioration of the vision of her right eye due to the presence of tractional macular detachment associated with JRCH in von Hippel-Lindau (VHL) disease. A 25-gauge sutureless vitreoretinal surgery was successfully performed. Two months following surgery, the JRCH was treated with two sessions of half-fluence PDT at an interval of 4 months. Visual acuity improved from a preoperative level of 20/50 to 20/25 24 months postoperatively. Resolution of the tractional macular detachment, reduction of papillomacular area fluid, and reduction in size of the JRCH were observed during the follow-up period. No serious adverse events were observed. Small-gauge vitreoretinal surgery followed by PDT can be effective and safe in relieving tractional macular detachment and recovering useful visual acuity in JRCH in VHL disease.
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ISSN:1663-2699
1663-2699
DOI:10.1159/000363564