Choroidal Hemangioma: A Diagnostic Challenge
Keywords:
Hemangioma, eye ball, choroidal melanoma, metastasis
Abstract
Choroidal hemangioma is an uncommon, benign vascular tumor and typically presents between second to fourth decade of life. It is usually asymptomatic but may presents with reduced visual function, metamorphopsia, and photopsia. We report a case of 33-year-old woman with sudden diminution of vision and floaters. On clinical and radiological findings, a suspicion of choroidal melanoma/metastasis was kept for which enucleation of eye was performed. But in contrast with the above findings a diagnosis of choroidal hemangioma was made on histopathology. Diagnosis of choroidal hemangioma is challenging as it can mimic serious and malignant intraocular lesions. Our case is interesting in view of its rarity and the diagnostic dilemma which it presents to the ophthalmologists. DOI: 10.21276/AWCH.1845References
1. Turell ME, Singh AD. Vascular tumours of retina and choroid: Diagnosis and treatment. Middle East Afr J Ophthalmol. 2010; 17:191-200
2. Zablocki G, Hagedorn C, Brady KD. Choroidal Hemangioma: Central scotoma in the right eye. EyeRounds.org. January 23, 2007.
3. Stroszczynski C, Hosten N, Bornfeld N, Wiegel T, Schueler A, Foerster P, Lemke AJ, Hoffmann KT. Choroidal Hemangioma: MR Findings and Differentiation from Uveal Melanoma. AJNR Am J Neuroradiol. 1998; 19:1441-7.
4. Murthy R1, Hanovaz SG, Naik M, Gopi S, Reddy VA. Ruthenium-106 plaque brachytherapy for the treatment of diffuse choroidal hemangioma in Sturge Weber syndrome. Indian J Ophthalmol. 2005; 53:274-5.
5. Rahman W, Horgan N, Hungerford J. Circumscribed choroidal hemangioma mimicking chronic central serous chorioretinopathy Indian J Ophthalmol.2013;36:37-40
6. Maclean AL, Maumenee AE. Hemangioma of choroid. Am J Ophthalmol. 1960; 50:3-11.
7. Yeh PT. B-scan for the Diagnosis of Choroidal Diseases. J Med Ultrasound. 2013; 21:123-125
8. Shanmugam MP, De Potter P, Gopal L, Biswas J, Bhende MP. Current concepts in the management of adult intraocular tumours. Indian J Ophthalmol. 1997; 45:143-61.
9. Ang M, Lee SY. Multifocal photodynamic therapy for diffuse choroidal hemangioma. Clin Ophthalmol. 2012; 6:1467-9.
10. Witschel H, Font RL. Hemangioma of choroid. A clinicopathologic study of 71 cases and review of literature. Surv Ophthalmol. 1976; 20:415-31.
11. Shukla D, Ramasamy K. Vitrectomy for circumscribed choroidal hemangioma with exudative retinal detachment refractory to transpupillary thermotherapy. Indian J Ophthalmol. 2007;55: 298-99
12. Hsu CC, Yang CS, Peng CH, Lee FL, Lee SM. Combination photodynamic therapy and intravitreal bevacizumab used to treat circumscribed choroidal hemangioma. J Chin Med Assoc. 2011;74: 473-7
2. Zablocki G, Hagedorn C, Brady KD. Choroidal Hemangioma: Central scotoma in the right eye. EyeRounds.org. January 23, 2007.
3. Stroszczynski C, Hosten N, Bornfeld N, Wiegel T, Schueler A, Foerster P, Lemke AJ, Hoffmann KT. Choroidal Hemangioma: MR Findings and Differentiation from Uveal Melanoma. AJNR Am J Neuroradiol. 1998; 19:1441-7.
4. Murthy R1, Hanovaz SG, Naik M, Gopi S, Reddy VA. Ruthenium-106 plaque brachytherapy for the treatment of diffuse choroidal hemangioma in Sturge Weber syndrome. Indian J Ophthalmol. 2005; 53:274-5.
5. Rahman W, Horgan N, Hungerford J. Circumscribed choroidal hemangioma mimicking chronic central serous chorioretinopathy Indian J Ophthalmol.2013;36:37-40
6. Maclean AL, Maumenee AE. Hemangioma of choroid. Am J Ophthalmol. 1960; 50:3-11.
7. Yeh PT. B-scan for the Diagnosis of Choroidal Diseases. J Med Ultrasound. 2013; 21:123-125
8. Shanmugam MP, De Potter P, Gopal L, Biswas J, Bhende MP. Current concepts in the management of adult intraocular tumours. Indian J Ophthalmol. 1997; 45:143-61.
9. Ang M, Lee SY. Multifocal photodynamic therapy for diffuse choroidal hemangioma. Clin Ophthalmol. 2012; 6:1467-9.
10. Witschel H, Font RL. Hemangioma of choroid. A clinicopathologic study of 71 cases and review of literature. Surv Ophthalmol. 1976; 20:415-31.
11. Shukla D, Ramasamy K. Vitrectomy for circumscribed choroidal hemangioma with exudative retinal detachment refractory to transpupillary thermotherapy. Indian J Ophthalmol. 2007;55: 298-99
12. Hsu CC, Yang CS, Peng CH, Lee FL, Lee SM. Combination photodynamic therapy and intravitreal bevacizumab used to treat circumscribed choroidal hemangioma. J Chin Med Assoc. 2011;74: 473-7
Published
2018-02-19
Issue
Section
Case Reports
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