Complex juxtapapillary capillary hemangioma: a case report

Optometry : Journal of the American Optometric Association
Sherrol A ReynoldsLaura Falco

Abstract

Juxtapapillary capillary hemangiomas can occur as isolated clinical abnormalities or a manifestation of von Hippel-Lindau (VHL) disease. Because of the location of these vascular tumors on or adjacent to the optic disc, any therapeutic treatment option involves risk. Management typically includes close monitoring, with treatment initiation as the tumor progresses or when vision is compromised. This case report reviews this condition while highlighting the treatment and potential complications associated with juxtapapillary capillary hemangioma. A 14-year-old black male had juxtapapillary capillary hemangioma diagnosed during a routine eye examination. The patient complained of blurry vision in the right eye, and best-corrected visual acuities (BCVA) were 20/25 O.D. and 20/20 in the left eye. At the retinologist's discretion, no treatment was initiated, and the patient was advised to return in 4 months for a dilated retinal evaluation and referred for magnetic resonance imaging (MRI) with contrast of the brain. The patient was lost to follow-up and presented a year later when vision had deteriorated to 20/400 O.D. with an associated afferent pupillary defect. Enlargement of the juxtapapillary capillary hemangioma with increased ...Continue Reading

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Citations

May 19, 2011·Case Reports in Ophthalmology·Takayuki BabaShuichi Yamamoto
Jun 29, 2016·Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)·David B Elliott
Apr 24, 2021·Ophthalmology Retina·Maura Di NicolaCarol L Shields

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