DR. ANNADA NAMBIAR

DR. KARTHIKA NEMARUGOMMULA, DR. RAJALINGAM VAIRAGYAM

Abstract

MATERIALS AND METHODS :

A 54 -YEAR OLD MALE WITH A HISTORY OF DIMUNITION OF VISION BOTH EYES SINCE 2 MONTHS . INDIRECT OPHTHALMOSCOPY ,BOTH EYES SHOWING WELL-CIRCUMSCRIBED MASS SUPERIOR TO AND TEMPORAL TO OPTIC DISC ENCROACHING MACULA WITH SUBRETINAL FLUID .BOTH EYES B-SCAN DOME SHAPED HYPERECHOIC CHOROIDAL MASS WITH EXUDATIVE RETINAL DETACHMENT IN RIGHT EYE.FFA BOTH EYES IRREGULAR HYPERFLUORESCENCE IN CHOROIDAL PHASE AND INCREASED FLUORESCENCE IN ARTERIOVENOUS PHASE.OCT BOTH EYES SUBRETINAL FLUID WITH ALTERED FOVEAL CONTOUR IN LEFT EYE.RIGHT EYE LASER PHOTOCOAGULATION DONE. INTRAVITREAL INJECTION AVASTIN GIVEN IN BOTH EYES .

RESULTS :

DIAGNOSIS IS BASED ON A MULTIMODAL APPROACH INVOLVING INDIRECT OPHTHALMOSCOPY ,FFA,OCT AND B-SCAN.

CONCLUSION:

CHOROIDAL HEMANGIOMA WARRANTS TREATMENT WHEN ASSOCIATED WITH VISUAL SYMPTOMS OR EXUDATIVE RETINAL DETACHMENT. MAIN AIM OF TREATMENT IS TO RESOLVE SUBRETINAL FLUID AND MACULAR EDEMA.THE DECREASE IN TUMOR SIZE IS NOT THE PRIMARY GOAL.