MACULAR EXUDATION ASSOCIATED WITH A RACEMOSE HEMANGIOMA, VASOPROLIFERATIVE TUMOR, AND COATS-LIKE VASCULOPATHY

Area of Science:

• Ophthalmology
• Retinal Vascular Diseases
• Medical Imaging

Background:

• Retinal vascular abnormalities can present with complex and overlapping features.
• Concurrent racemose hemangioma, vasoproliferative tumor, and Coats-like vasculopathy is exceptionally rare.
• Understanding the interplay of these conditions is crucial for effective management.

Purpose of the Study:

• To describe the clinical course and multimodal imaging findings.
• To document the outcome of treatment for a concurrent case of racemose hemangioma, retinal vasoproliferative tumor, and Coats-like vasculopathy.

Main Methods:

• Comprehensive ophthalmic examinations and multimodal imaging were performed.
• Treatment involved laser photocoagulation and intravitreal aflibercept injections.
• Follow-up extended for two years post-therapy.

Main Results:

• A 14-year-old male presented with severe visual impairment (20/400) due to macular exudation and multiple vascular anomalies.
• Treatment led to resolution of macular exudation and regression of the vasoproliferative tumor.
• Best-corrected visual acuity improved to 20/40 within two years.

Conclusions:

• The combination of rare retinal vascular abnormalities responded well to targeted treatment.
• Racemose hemangioma and abnormal hemodynamics may contribute to secondary vascular conditions.
• Effective management of exudation and proliferation can restore significant visual function.