Combined brachytherapy and vitreoretinal surgery for a large retinal capillary hemangioma with exudative retinal detachment.

European Journal of Ophthalmology
Francesco BarcaCinzia Mazzini

Abstract

We report about a large retinal capillary hemangioma (RCH) with exudative retinal detachment and a macular fold, treated with Ruthenium-106 brachytherapy (Ru-106 BT) and scleral buckling surgery, followed by pars plana vitrectomy (PPV), for the removal of macular tractions. A 17-year-old boy was referred to our Ocular Oncology Unit for a large RCH in the left eye. BCVA was hand motion. The RCH measured 4.9 × 6.85 mm in basal diameters and 4.0 mm in thickness and was located in the mid-peripheral temporal retina. It was surrounded by extensive subretinal exudation, forming an exudative retinal detachment, with a retinal fold that extended from the lesion to the optic disc. We performed Ru-106 BT and at the moment of the plaque removal we placed a radial buckle with the aim to unbend the retinal fold. At 3-months follow-up the exudation decreased, we achieved the opening of the peripheral side of the retinal fold, but the macula was still detached. We decided to perform a lens sparing PPV, macular peeling and air tamponade, to remove the vitreoretinal tractions ab interno and to try to complete the opening of the macular fold. After 1-month BCVA was counting fingers, the retina appeared attached, also in the macular area, but the...Continue Reading

References

Jul 1, 1991·Archives of Ophthalmology·J Sebag
Aug 26, 1998·Ophthalmology·K M KreuselM H Foerster
Jul 12, 2014·BioMed Research International·Francesco BarcaStanislao Rizzo
Aug 17, 2014·American Journal of Ophthalmology·Takahiro YamaneNoriyuki Azuma
Aug 27, 2015·Retina·Karol KrzystolikWojciech Lubiński
Aug 25, 2016·Documenta Ophthalmologica. Advances in Ophthalmology·Yuri NakayamaNoriyuki Azuma

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Citations

Aug 11, 2021·Klinische Monatsblätter für Augenheilkunde·Sami DalbahEva Biewald

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Methods Mentioned

BETA
surgical resection
dissection

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