RESUMO
CLINICAL CASE: A 45-year-old male referred with a scotoma in the left eye of 2 months' evolution. A peripapillary tumor was found, with a basal diameter of 7 mm and thickness 3.4 mm. It was diagnosed as a circumscribed choroidal hemangioma. It was decided to treat the patient using photodynamic therapy. After 4 sessions and 17 months follow-up, the patient remained asymptomatic and visual acuity was stable. There was evidence of subretinal fibrosis and no subretinal fluid was found. DISCUSSION: Photodynamic therapy is a good option for the treatment of circumscribed choroidal hemangioma given the minimal damage is causes to the adjacent retina.
Assuntos
Neoplasias da Coroide/tratamento farmacológico , Hemangioma/tratamento farmacológico , Fotoquimioterapia , Humanos , Masculino , Pessoa de Meia-IdadeRESUMO
Caso clínico: Varón de 45 años, que acude por escotoma de ojo izquierdo de 2 meses de evolución.Las exploraciones complementarias demuestran untumor yuxtapapilar de 7 mm x 3,4 mm que es diagnosticadocomo hemangioma circunscrito de coroides.Se decide tratarlo con terapia fotodinámica. Tras 4sesiones y 17 meses de seguimiento el paciente permaneceasintomático, su agudeza visual se mantieney la lesión presenta aspecto fibrótico sin exudación.Discusión: La terapia fotodinámica es una de lasmejores opciones terapéuticas en esta patología por el mínimo daño que causa sobre la retina (AU)
Clinical case: A 45-year-old male referred with a scotoma in the left eye of 2 months’ evolution. A peripapillary tumor was found, with a basal diameter of 7 mm and thickness 3.4 mm. It was diagnosed as a circumscribed choroidal hemangioma. It was decided to treat the patient using photodynamic therapy. After 4 sessions and 17 months follow-up, the patient remained asymptomatic and visual acuity was stable. There was evidence of subretinal fibrosis and no subretinal fluid was found. Discussion: Photodynamic therapy is a good option for the treatment of circumscribed choroidal hemangioma given the minimal damage is causes to the adjacent retina. (Arch Soc Esp Oftalmol 2008; 83: 553-558)