Retinal racemose hemangioma presenting with a chorioretinal anastomosis

To report a case of neovascular glaucoma in an 8-year-old male, secondary to a racemose hemangioma without associated intracranial arteriovenous malformation, highlighting the challenges in management and novel findings on optical coherence tomography angiography (OCTA). An 8-year-old male initially...

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Bibliographic Details
Published in:American journal of ophthalmology case reports 2024-12, Vol.36, p.102188, Article 102188
Main Authors: Soetikno, Brian T., Ghoraba, Hashem, Brant, Arthur, DeBoer, Charles, Guo, Lucie, Shue, Ann, Hartnett, Mary Elizabeth
Format: Article
Language:English
Subjects:
Arteriovenous malformation
Case Report
Chorioretinal anastomosis
Neovascular glaucoma
Optical coherence tomography angiography
Racemose hemangioma
Vein occlusion
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Summary:To report a case of neovascular glaucoma in an 8-year-old male, secondary to a racemose hemangioma without associated intracranial arteriovenous malformation, highlighting the challenges in management and novel findings on optical coherence tomography angiography (OCTA). An 8-year-old male initially presented with pain, redness, and blurred vision in the right eye. The patient was diagnosed with secondary neovascular glaucoma due to a racemose hemangioma. Urgent interventions included intravitreal bevacizumab injection and tube shunt surgery for persistently high intraocular pressure. Pars plana vitrectomy and scatter laser photocoagulation were eventually performed to manage a tractional retinal detachment and peripheral ischemia, respectively. OCTA imaging revealed a racemose hemangioma with a unique chorioretinal anastomosis. We present a rare pediatric case of neovascular glaucoma secondary to a racemose hemangioma with significant peripheral ischemia and an unusual chorioretinal anastomosis. The discovery of a chorioretinal anastomosis on OCTA suggests a potentially severe variant of racemose hemangioma.
ISSN:2451-9936
2451-9936
DOI:10.1016/j.ajoc.2024.102188