advertisement
Abstract #120494 Published in IGR 25-1
Retinal racemose hemangioma presenting with a chorioretinal anastomosis
Soetikno BT; Ghoraba H; Brant A; DeBoer C; Guo L; Shue A; Hartnett MEAmerican journal of ophthalmology case reports 2024; 36: 102188
PURPOSE: To report a case of neovascular glaucoma in an 8-year-old male, secondary to a racemose hemangioma without associated intracranial arteriovenous malformation, highlighting the challenges in management and novel findings on optical coherence tomography angiography (OCTA). OBSERVATIONS: An 8-year-old male initially presented with pain, redness, and blurred vision in the right eye. The patient was diagnosed with secondary neovascular glaucoma due to a racemose hemangioma. Urgent interventions included intravitreal bevacizumab injection and tube shunt surgery for persistently high intraocular pressure. Pars plana vitrectomy and scatter laser photocoagulation were eventually performed to manage a tractional retinal detachment and peripheral ischemia, respectively. OCTA imaging revealed a racemose hemangioma with a unique chorioretinal anastomosis. CONCLUSIONS AND IMPORTANCE: We present a rare pediatric case of neovascular glaucoma secondary to a racemose hemangioma with significant peripheral ischemia and an unusual chorioretinal anastomosis. The discovery of a chorioretinal anastomosis on OCTA suggests a potentially severe variant of racemose hemangioma.
Department of Ophthalmology, Byers Eye Institute, Stanford, CA, USA.
Full article