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Transpupillary thermotherapy for circumscribed choroidal hemangiomas
J García-Arumí1, L S Ramsay, B C Guraya
1Hospital Universitari Vall d'Hebrón, Barcelona, Spain. 17215jga@comb.es
Ophthalmology
|February 26, 2000
Summary
Transpupillary thermotherapy (TTT) effectively treats circumscribed choroidal hemangiomas causing vision loss. This infrared laser therapy led to complete resolution of serous retinal detachment in all patients.
Area of Science:
- Ophthalmology
- Medical Laser Applications
- Retinal Diseases
Background:
- Circumscribed choroidal hemangiomas are benign vascular tumors.
- These tumors can lead to vision impairment due to secondary serous retinal detachment.
- Various treatment modalities exist, but novel approaches are continually sought.
Purpose of the Study:
- To evaluate the efficacy of transpupillary thermotherapy (TTT) using an infrared laser for circumscribed choroidal hemangiomas.
- To assess the impact of TTT on visual acuity and associated serous retinal detachment.
Main Methods:
- A prospective, interventional case series involving eight eyes of eight patients.
- Treatment involved infrared diode laser (810 nm) with specific power and exposure parameters.
- Outcomes were assessed by final visual acuity, resolution of subretinal fluid, tumor appearance, and fluorescein angiography.
Main Results:
- Complete reabsorption of serous retinal detachment was achieved in all eight cases after TTT.
- Mild choroidal atrophy and minimal retinal pigment epithelium hyperpigmentation were observed post-treatment.
- Visual acuity outcomes were not explicitly detailed but implied improvement due to detachment resolution.
Conclusions:
- Transpupillary thermotherapy (TTT) is an effective and acceptable treatment for choroidal hemangiomas with serous retinal detachment.
- The role of TTT in managing these ocular conditions is expected to grow.
- TTT offers a promising therapeutic option for preserving vision in patients with choroidal hemangiomas.