Título

THE EFFICACY OF CRYOTHERAPY IN ONE CASE OF VASOPROLIFERATIVE RETINAL TUMOR

Introdução / Purpose

To describe a rare case of retinal vasoproliferative tumor associated with serous retinal detachment (RD)in a healthy patient and to describ the efficacy of cryotherapy in this case.

Material e Método / Methods

A 56-year-old man presented to the Hilton Rocha Foundation with complaint of low visual acuity in the left eye (OS). Previous history revealed vitreous hemorrhage in the right eye (OD) associated with rhegmatogenous retinal detachment with vision loss. His visual acuity (VA) was hand movements and count fingers in the OD and OS, respectively. Anterior segment biomicroscopy had not alterations and tonometry applanation was normal. Fundoscopy exam of the right eye was not feasible. A red-orange lesion with ill-defined borders was observed in the OS. In addition, serous RD and an extensive area of hard exudates were noticed in the lower and temporal quadrants, including the macular region (figura 1). Ocular ultrasound confirmed the findings (figura 2). Angiogram exam of the OS showed a hyperfluorescent lesion located in the inferior and temporal quadrants, accompanied by pooling (corresponding to the serous RD)(figura 3). Cryotherapy of the lesion was indicated.

Resultados / Results

Cryotherapy of the vasoproliferative tumor was effective. There was complete resolution of the serous RD with improvement of the VA.

Discussão e Conclusões / Discussion

Vasoproliferative retinal tumor is a rare, benign, usually unilateral, entity located in the peripheral region of the retina, preferably in the lower temporal quadrant. The diagnosis is essentially clinical and treatment options include: clinical observation, surgical procedure, cryotherapy, laser photocoagulation and brachytherapy.In this case retinal cryotherapy was successful.

Palavras Chave

Vasoproliferative Retinal Tumor; Cryotherapy; Serous Retinal Detachment