Scatter photocoagulation for choroidovitreal neovascularization.

Area of Science:

• Ophthalmology
• Retinal Vascular Diseases
• Ocular Oncology

Background:

• Choroidal melanoma treatment can lead to complications.
• Photocoagulation is a common treatment for choroidal melanoma.
• Choroidovitreal neovascularization is a potential complication following intense photocoagulation.

Observation:

• Two patients developed choroidovitreal neovascularization after repeated photocoagulation for choroidal melanoma.
• The neovascularization occurred in the ischemic zone of the peripheral retina.

Findings:

• Scatter photocoagulation applied to the ischemic peripheral retina resulted in rapid and sustained regression of the neovascularization.
• This indicates a successful therapeutic response to scatter photocoagulation.

Implications:

• Scatter photocoagulation is a viable alternative to focal ablative photocoagulation for managing choroidovitreal neovascularization.
• This approach may improve outcomes for patients experiencing this complication after choroidal melanoma treatment.