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Circumscribed Choroidal Hemangioma.

Saeed Karimi¹, Ramin Nourinia¹, Arman Mashayekhi²

¹Ophthalmic Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Journal of Ophthalmic & Vision Research

|January 6, 2016

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Circumscribed choroidal hemangiomas are benign tumors. Photodynamic therapy is the preferred treatment for symptomatic cases, showing high tumor regression and fluid resorption rates.

Area of Science:

Ophthalmology
Medical Oncology

Background:

Circumscribed choroidal hemangiomas are benign vascular tumors.
They present as elevated, orange-red masses, typically unilateral and posterior to the equator.
Commonly associated with subretinal fluid, serous retinal detachment, and cystoid macular edema.

Purpose of the Study:

To review the diagnostic modalities and treatment options for circumscribed choroidal hemangiomas.
To highlight photodynamic therapy as the current treatment of choice for symptomatic lesions.

Main Methods:

Review of diagnostic imaging techniques including fluorescein angiography, indocyanine green angiography, ultrasonography, optical coherence tomography, and enhanced depth imaging.
Evaluation of treatment outcomes for various modalities, focusing on photodynamic therapy.

Keywords:

Circumscribed Choroidal Hemangioma Photodynamic Therapy Subretinal Fluid

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Main Results:

Diagnostic imaging aids in identifying circumscribed choroidal hemangiomas and associated complications.
Photodynamic therapy demonstrates high efficacy in tumor regression and resolution of associated fluid with minimal complications.
Alternative treatments include radiotherapy, transpupillary thermotherapy, laser photocoagulation, and anti-VEGF injections.

Conclusions:

Asymptomatic choroidal hemangiomas require no immediate treatment.
Photodynamic therapy is the established primary treatment for symptomatic circumscribed choroidal hemangiomas, offering favorable outcomes.
A range of alternative therapies exist for cases unresponsive or unsuitable for photodynamic therapy.