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Related Experiment Videos

Circumscribed choroidal hemangiomas.

R Anand1, J J Augsburger, J A Shields

  • 1Wills Eye Hospital, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19107.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|September 1, 1989
PubMed
Summary
This summary is machine-generated.

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Scatter photocoagulation effectively treats retinal detachment caused by choroidal hemangiomas, but long-term vision often remains impaired. Many patients experience temporary visual improvement, yet permanent vision loss is common, especially with foveal involvement.

Area of Science:

  • Ophthalmology
  • Medical Imaging
  • Oncology

Background:

  • Circumscribed choroidal hemangiomas are benign vascular tumors.
  • These tumors can cause vision-threatening complications like retinal detachment.
  • Accurate diagnosis relies on ophthalmoscopy, fluorescein angiography, and ultrasonography.

Purpose of the Study:

  • To evaluate the efficacy and long-term visual outcomes of scatter photocoagulation for circumscribed choroidal hemangiomas.
  • To assess the impact of tumor location and retinal detachment on visual prognosis.

Main Methods:

  • Retrospective observational study of 71 patients with unilateral choroidal hemangiomas.
  • Patients underwent diagnostic imaging (ophthalmoscopy, fluorescein angiography, ultrasonography).

Related Experiment Videos

  • Treatment involved scatter photocoagulation for retinal detachment; visual acuity and follow-up data were analyzed.

    • Main Results:

    • Of 64 followed patients, 42 were treated with scatter photocoagulation for retinal detachment.
    • Photocoagulation led to subretinal fluid resolution in all treated eyes and vision stabilization in 53%.
    • However, 72% of treated eyes had visual acuity worse than 6/15 at follow-up, with significant long-term vision reduction in many cases.

    Conclusions:

    • Scatter photocoagulation is effective in achieving retinal reattachment and temporary visual improvement for choroidal hemangioma-related detachment.
    • Long-term visual outcomes are often poor, with a high rate of permanent vision decrease, particularly when the fovea is involved.
    • A significant proportion of patients may experience a decline in visual acuity over time, necessitating ongoing monitoring.