Treatment review of sight threatening circumscribed choroidal haemangioma
10.3969/j.issn.1672-5123.2010.08.003
- VernacularTitle:视力低下局限性脉络膜血管瘤的临床治疗
- Author:
James FT Li YIM
;
Teresa SANDINHA
;
Jan M KERR
;
Diana RITCHIE
;
Ewan G KEMP
- Publication Type:Journal Article
- Keywords:
circumscribed choroidal haemangioma;
plaque brachytherapy;
transpupillary thermotherapy
- From:
International Eye Science
2010;10(8):1463-1466
- CountryChina
- Language:Chinese
-
Abstract:
AIM:To describe our clinical experience in treating circumscribed choroidal haemangioma(CCH)in a tertiary referral centre over a fifteen year period prior to photodynamic therapy.METHODS:The departmental database and photographic records of a tertiary referral center were used to identify patients who were treated for CCH between 1992 and 2007.Their case records were reviewed.RESULTS:Visual acuity improved(>2 Snellen lines)in eleven patients(69%)remained stable in one patient (6%)and deteriorated in four patients(25%).Six of the seven treated with brachytherapy and three of the four treated with transpupillary thermotherapy achieved better visual acuity after treatment.86% of patients treated within six months of onset of symptoms and 50% of patients treated after six months of onset of symptoms noted an improvement in visual acuity.Only one patient in our series had a final VA of 6/60 or worse.Mean follow-up was thirty-five months.CONCLUSION:Visual outcome is better when treatment is performed within 6 months of symptoms.The majority of patients achieved an improvement in visual acuity without any adverse effect following treatment.