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Liqin Gao, Feng Zhang; Various Laser Treatments for Retinal Capillary Hemangioma. Invest. Ophthalmol. Vis. Sci. 2013;54(15):4139.
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© ARVO (1962-2015); The Authors (2016-present)
To investigate the therapeutic effects of retinal capillary hemangioma (RCH) with various laser treatments.
Retrospectively analyzed the effects of combined various mechanism laser treatments for retinal capillary hemangioma (RCH) of 21 patients, 29eyes. 10 of them were VHL patients.
61 peripheral retinal capillary hemangiomas (RCH) were found in 22 eyes of 15 patients. According to Lane classification, 11 tumors were of grade I, 25 tumors were of grade II, 11tumors were of grade III, 14 tumors were of grade IV, 2 tumors were of grade V. 7 juxtapapillary capillary hemangiomas were found in 7eyes of 6 patients, in which 2/7 combined with peripheral capillary hemangioma (3 hemangiomas, 2 of grade I and 1 of grade III). Mean follow-up period was 25 months. All tumors of grade I shrank after once direct tumor photocoagulation. All tumors of grade II shrank after direct photocoagulation to tumor and its feeding vessels once (15/25) or twice (10/25). Repeated direct tumor photocoagulation and feeding vessels and combined with TTT/PDT were performed to tumors of grade III. 6 of them shrank, and 6 of them were stable. For tumors of grade IV, repeated and combined various laser treatments were performed. 2 of them shrank, 4 of them were stable, and 8 of them received PPV because of serious complications. All the 2 cases of grade V abandoned therapy. Of the 7 juxtapapillary capillary hemangiomas, 2 of them on nasal margin of disc were treated by direct tumor photocoagulation, and 5 of them on temporal margin or center of disc received PDT or combined various laser treatments. 4 tumors shrank with serious RD controlled, and 3 tumors regrew.
various laser treatments for RCH are effective. For tumors greater than grade III, repeated and combined various laser treatments are needed. Some cases with tumor greater than grade IV need PPV. VHL patients have the worse prognosis.
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