Retina-Vitreous
2011 , Vol 19 , Num 4
Transpupillary Thermotherapy for Retinal Capillary Hemangiomas in Von Hippel-Lindau Disease
1Gazi Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Uzm. Dr.2Mersin Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Mersin, Yard. Doç. Dr.
3Gazi Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, Ankara, Prof. Dr. A 22-year-old woman presented with a 5-day history of reduced vision in her left eye. Fundus examination revealed multiple different sized retinal capillary hemangiomas (RCH) in her left eye. Serous retinal elevation and intraretinal edema surrounding the RCHs in the superior retinal periphery extended to the macula. The moderate and large sized RCHs were treated with transpupillary thermotherapy (TTT) with 810 nm diode laser. The macular exudation resolved rapidly. In the follow-up, additional TTT was applied to completely obliterate the large sized RCHs, which were additionally circumscribed with 532 nm laser photocoagulation. All RCHs scarred completely. The visual acuity increased to 20/20 at 6 months, and remained stable throughout the 30-month follow-up period. TTT may have a therapeutic role in the management of selected RCH cases, particularly in cases presenting with multiple and large sized extrapapillary tumors. Keywords : Capillary hemangioma, retina, transpupillary thermotherapy, von hippel-lindau disease