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Cavernous hemangioma of the optic nerve
M S Kushner1, L M Jampol, J A Haller
1Department of Ophthalmology, Northwestern University School of Medicine, Chicago, Illinois.
Retina (Philadelphia, Pa.)
|January 1, 1994
Summary
Cavernous hemangiomas of the optic disc, typically static, can exhibit growth and lead to severe vitreous hemorrhage requiring vitrectomy.
Area of Science:
- Ophthalmology
- Neurology
Background:
- Cavernous hemangioma of the retina and optic disc is a rare vascular malformation.
- First described by Gass in 1971, it presents as characteristic saccular "grape-like" lesions.
- Fluorescein angiography reveals plasma-erythrocyte separation.
Observation:
- This study examined two patients with optic nerve cavernous hemangioma over 5-10 years.
- Contrary to the usual understanding of these lesions as static, documented growth was observed.
Findings:
- Two cases of optic nerve cavernous hemangioma demonstrated significant growth.
- One patient experienced vitreous hemorrhage necessitating vitrectomy.
Implications:
- Optic disc cavernous hemangiomas are not always static and can progress.
- Growth can result in severe vitreous hemorrhage, potentially requiring surgical intervention like vitrectomy.