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Episcleral racemose hemangioma
Li-Anne Lim1, Philip Brower1, Jerry A Shields1
1Ocular Oncology Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania.
Summary
Racemose hemangioma, a rare vascular malformation, presents as dilated episcleral vessels. This case report details a nonhemorrhagic instance in a 22-year-old male.
Area of Science:
- Ophthalmology
- Vascular Malformations
Background:
- Racemose hemangioma is a rare, benign vascular malformation.
- It typically appears in the episclera as dilated, tortuous blood vessels.
Observation:
- The episcleral vessels exhibit a unique configuration, passing from the fornix over the globe to the limbal area and back.
- This malformation lacks typical capillary architecture.
Findings:
- Fluorescein angiography demonstrates rapid blood flow within the malformation.
- The episcleral vessels are large in caliber with a distinct curvilinear, twisted appearance.
Implications:
- This case highlights the varied presentation of racemose hemangioma.
- Understanding its angiographic features is crucial for diagnosis.
