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Abstract #60222 Published in IGR 16-4

Diffuse choroidal hemangioma associated with exudative retinal detachment in a Sturge-Weber syndrome case: Photodynamic therapy and intravitreous bevacizumab

Anaya-Pava EJ; Saenz-Bocanegra CH; Flores-Trejo A; Castro-Santana NA
Photodiagnosis and photodynamic therapy 2015; 12: 136-139


We report the case of a young female patient with a diffuse choroidal hemangioma (DCH) and glaucoma as part of Sturge-Weber syndrome (SWS) and symptomatic retinal detachment that was treated successfully with photodynamic therapy (PDT) and intravitreal bevacizumab (IVB). The patient was treated with a single session of PDT, a 689-nm laser was used to deliver 50J/cm(2) with a maximum spot size of 6400μm, for 166s. IVB was administered 3 days later. The exudative retinal detachment (ERD), macular edema and visual acuity improved one week after treatment. The patient was followed for 18 months with no recurrence of ERD, and her visual acuity was preserved. PDT followed by IVB may be an effective treatment option for visual deterioration due to ERD in patients with DCHs, as are found in SWS.

Instituto Mexicano del Seguro Social, Unidad Médica de Alta Especialidad No. 71, Ophthalmology Deparment, Torreón, Coahuila, Mexico. Electronic address: ejanayap@hotmail.com.

Full article

Classification:

9.4.15 Glaucoma in relation to systemic disease (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)
9.4.5.5 Other (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.5 Glaucomas associated with disorders of the retina, choroid and vitreous)



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