Optical coherence tomography angiography of circumscribed choroidal hemangioma treated with photodynamic therapy

We describe features of a circumscribed choroidal hemangioma (CCH) treated with photodynamic therapy (PDT) by means of optical coherence tomography angiography (OCT-A). A 40-year-old man had a complaint of decreasing visual acuity in his left eye for 10 days. A diagnosis of CCH was confirmed by fund...

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Bibliographic Details
Published in:Indian journal of ophthalmology 2017-10, Vol.65 (10), p.1049-1051
Main Authors: Giudice, Giuseppe Lo, Galan, Alessandro
Format: Article
Language:English
Subjects:
Acuity
Adult
Angiography
Automation
Brief Communications
Care and treatment
Choroid - pathology
Choroid Neoplasms - diagnosis
Choroid Neoplasms - drug therapy
Choroidal hemangioma
Eye
Eye diseases
Fluorescein
Fluorescein Angiography - methods
Fundus Oculi
Hemangioma
Hemangioma - diagnosis
Hemangioma - drug therapy
Humans
Male
Medical imaging
Ophthalmology
optical coherence tomography angiography
Photochemotherapy
Photochemotherapy - methods
Photodynamic therapy
Photosensitizing Agents - therapeutic use
Thrombosis
Tomography
Tomography, Optical Coherence - methods
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Summary:We describe features of a circumscribed choroidal hemangioma (CCH) treated with photodynamic therapy (PDT) by means of optical coherence tomography angiography (OCT-A). A 40-year-old man had a complaint of decreasing visual acuity in his left eye for 10 days. A diagnosis of CCH was confirmed by fundus examination, fluorescein angiography, and indocyanine green angiography. An OCT-A study of choroidal lesion before and after PDT was carried out. Segmented en face OCT-A of CCH showed multiple irregular connected vascular channels with hyperflow and a capillary-like lesion. Absent and/or reduced intrachannel flow in most of the intratumoral vessels was shown by OCT-A soon after treatment (2 days), with normalization of vascular flow 7 days and 1 month after PDT. OCT-A was able to noninvasively visualize intrinsic vasculature of CCH showing vascular remodeling after PDT.
ISSN:0301-4738
1998-3689
DOI:10.4103/ijo.IJO_237_17