Abstract | PURPOSE: MATERIAL AND METHODS: Seventeen circumscribed choroidal hemangiomas associated with serous retinal detachment were analyzed. All patients were symptomatic but one. Duration of visual symptoms varied from 2 weeks to 3 years. Mean tumor thickness was 3,3mm (1 to 6,5mm). Mean tumor diameter was 6,5mm (2.5 to 15mm). Tumors were juxtapapillary in 9 cases (57%). The mean distance from the fovea was 1,5mm (0 to 3mm), and the fovea was pathological in all cases but two. The tumoral surface was covered by Argon laser spots with the central avascular area spared in the case of subfoveal hemangioma. In the case of subretinal fluid persistence 3 months later, 1 or more photocoagulation sessions were carried out. Follow-up was 27 months (6 to 156 months). RESULTS: Success (complete subretinal fluid resolution) was obtained in 82.4% with 1 or 2 laser photocoagulation sessions. Recurrence was observed in 4 cases (23.5%) but treated with success. Final visual acuity, related to the initial foveal condition, was >=0.5 in 23.5% of cases, and >=0.1 in 70.6% of cases. DISCUSSION: Anatomical and functional results were satisfactory considering initial foveal conditions. Irradiation (external beam irradiation, proton beam therapy, brachytherapy) has been used with success for several years. However, radiation-induced damage was described in addition to a few practical disadvantages. CONCLUSION:
|
Authors | N Duquesne, O Bouchard, B Jean-Louis, B Bievelez, J D Grange |
Journal | Journal francais d'ophtalmologie
(J Fr Ophtalmol)
Vol. 25
Issue 1
Pg. 42-7
(Jan 2002)
ISSN: 0181-5512 [Print] France |
Vernacular Title | Hémangiomes choroïdiens circonscrits traités par photocoagulation au laser Argon. |
PMID | 11965117
(Publication Type: English Abstract, Journal Article)
|
Chemical References |
|
Topics |
- Adolescent
- Adult
- Aged
- Argon
- Choroid Neoplasms
(surgery)
- Female
- Hemangioma
(surgery)
- Humans
- Laser Coagulation
- Male
- Middle Aged
- Retrospective Studies
|