Circumscribed Choroidal Hemangioma: a Report of 7 Cases.

Chung, Song Ee; Cho, Hee Yoon; Kim, Jong In; Kang, Se Woong

Original Article

Journal of the Korean Ophthalmological Society 2006;47(3):368-373.
Published online March 31, 2006.

Circumscribed Choroidal Hemangioma: a Report of 7 Cases.

Song Ee Chung, Hee Yoon Cho, Jong In Kim, Se Woong Kang

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. swkang@smc.samsung.co.kr

국한성 맥락막혈관종 7예

정송이,조희윤,김종인,강세웅

Department of Ophthalmology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

Correspondence: Song Ee Chung, M.D.

Abstract

PURPOSE
To report the clinical features and management of circumscribed choroidal hemangioma. METHODS: Seven patients with circumscribed choroidal hemangioma were reviewed retrospectively. One eye having a small tumor without subretinal fluid was observed. Four eyes with large tumors around the posterior pole were treated with laser photocoagulation or/and transpupillary thermotherapy. Stereotactic radiosurgery with a gamma knife was applied in 2 eyes with large tumors on the peripheral retina. RESULTS: In all cases, the retinal detachment showed complete resolution. Tumor thickness was decreased in 2 cases treated with stereotactic radiosurgery. Visual acuity was either improved or unchanged in 6 eyes and decreased in one eye after treatment. CONCLUSIONS: Circumscribed choroidal hemangioma is a rare intraocular tumor. These tumors can be treated with variable modalities based on their size, location, and subretinal fluid. They have a favorable prognosis. Stereotactic radiotherapy is a reasonable treatment alternative for large symptomatic choroidal hemangiomas.

Key Words: Circumscribed choroidal hemangioma;Gamma knife;Stereotactic radiotherapy