Título

CHOROIDAL HEMANGIOMA : A CASE REPORT AND LITERATURE REVIEW

Introdução / Purpose

to report a case and discuss the topic

Material e Método / Methods

analysys of medical records from joão penido burnier’s foundation and literature review.patient bs, 68 years old, came to our service complaining about low visual acuity in right eye during last year.denies ophthalmological antecedents. In this eye the visual acuity was account fingers to 15cm and 20/20 in left eye with correction. Biomicroscopy has not showed changes. The fundoscopy of right eye showed injured in low temporal arcade of orange aspect, with serious perilesional discoverment accompanying the machine. The ocular ultrasonography was observed high reflexity injury, homogeneous, dap: 10.4mm, height: 4.1mm that extends from papilla to ecuador, lower temporary.based on clinical history and complementary exams, the diagnostic hypothesis of choroid hemangioma was raised.

Resultados / Results

the patient was treated with retina photocoagulation at the location of injury and intravitrea injection of anti-VEGF. After 30 days, the visual acuity got improved.

Discussão e Conclusões / Discussion

circumscribed choroidal hemangiomas have a typical clinical appearance. Generally, they are orange-red elevated masses, which are found posterior to the equator. Lesions are usually solitary and unilateral. The diagnosis can be confirmed by ancillary tests such as IFA, IGA, USG, OCT. No systemic work up is needed because there is no systemic association. Although circumscribed choroidal hemangioma is a benign tumor, it may be a cause of visual impairment through subretinal fluid, refractive errors, intra-retinal edema and amblyopia. Photodynamic therapy is the treatment of choice for symptomatic hemangiomas with high rates of tumor regression, subretinal fluid resorption and minimal complications. Different types of radiation therapy,are reserved for larger hemangiomas with extensive retinal detachment which are not amenable to treat with pdt. Recently, new therapies such as oral propranolol and intravitreal injection of anti-vegf agents have been introduced.

Palavras Chave

Hemangioma; Choroid neoplasms;Retinal detachment