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Related Experiment Videos

Circumscribed choroidal hemangiomas: long-term visual prognosis.

J J Augsburger1, J A Shields, K P Moffat

  • 1Oncology Service, Wills Eye Hospital, Philadelphia, Pennsylvania 19107, USA.

Retina (Philadelphia, Pa.)
|January 1, 1981
PubMed
Summary

Laser photocoagulation for choroidal hemangioma often fails to preserve vision, with most patients experiencing severe visual impairment due to persistent retinal detachment and macular degeneration.

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Area of Science:

  • Ophthalmology
  • Retinal Diseases
  • Vascular Tumors

Background:

  • Circumscribed choroidal hemangiomas can lead to secondary retinal detachment.
  • Visual impairment is a common complication of choroidal hemangiomas.

Purpose of the Study:

  • To evaluate the long-term visual outcomes of patients with circumscribed choroidal hemangioma treated with laser photocoagulation.
  • To assess the efficacy of treatment in preventing vision loss.

Main Methods:

  • Retrospective follow-up of 21 patients with circumscribed choroidal hemangioma.
  • Treatment involved xenon arc and/or argon laser photocoagulation for retinal detachment.
  • Visual acuity and retinal status were monitored over 3-9 years.

Main Results:

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  • Only 4 of 21 patients achieved visual acuity of 6/12 or better.
  • 15 of 21 patients had visual acuity of 6/60 or worse.
  • Persistent retinal detachment and macular degeneration were primary causes of vision loss.

Conclusions:

  • Laser photocoagulation for choroidal hemangioma has limited success in preserving long-term visual acuity.
  • Secondary retinal detachment significantly impacts visual outcomes.
  • Further research is needed for more effective treatment strategies.