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Updated: Jun 13, 2026

Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia

Anterior High-Resolution Optical Coherence Tomography in the Diagnosis and Therapeutic Monitoring of Ocular Surface Squamous Neoplasia

Published on: August 9, 2024

Optochiasmatic cavernous hemangioma.

David Panczykowski¹, Mark P Piedra, Justin S Cetas

¹Department of Neurological Surgery, Oregon Health & Science University, Portland, Oregon 97239-3098, USA.

British Journal of Neurosurgery

|May 15, 2010

Summary

Optochiasmatic cavernous hemangiomas (OCHs) treated with radiotherapy may require surgery due to incomplete healing. Complete surgical resection is recommended as the primary treatment to prevent complications like hemorrhage and neuronal damage.

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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations

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Published on: October 20, 2017

Area of Science:

Neuro-oncology
Vascular Malformations
Radiotherapy

Background:

Optochiasmatic cavernous hemangiomas (OCHs) are rare vascular malformations affecting the optic chiasm.
Treatment options include surgery and stereotactic radiotherapy.
Previous treatments have shown limitations in achieving curative outcomes.

Observation:

A case of OCH treated initially with stereotactic radiotherapy is presented.
The patient required subsequent surgical intervention.
Radiotherapy alone or subtotal resection did not result in a complete cure.

Findings:

Subtotal resection and radiotherapy are not curative for OCH.
These treatments can lead to complications such as hemorrhage and progressive neuronal injury.
Complete surgical resection is associated with better outcomes.

Implications:

Complete surgical resection should be considered the primary treatment of choice for OCH.
Further research into optimal management strategies for OCH is warranted.
Understanding the long-term efficacy and risks of different OCH treatments is crucial.