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M. E. Patron, J. S. Duker; Retinal Telangiectasias Overlying Benign Choroidal Tumors. Invest. Ophthalmol. Vis. Sci. 2008;49(13):5947.
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© ARVO (1962-2015); The Authors (2016-present)
To describe a previously unreported clinical finding of retinal telangiectasias overlying benign choroidal tumors.
The clinical presentations and fluorescein angiograms of three patients with benign choroidal tumors are presented.
Early-frame fluorescein angiograms demonstrated retinal telangiectasias overlying a circumscribed choroidal hemangioma, diffuse choroidal hemangioma, and choroidal osteoma in three isolated cases. The retinal telangiectasias were visible on fundoscopy in each case. Cystoid macular edema was associated with the circumscribed hemangioma.
Each of the three tumors described are longstanding choroidal lesions that have the potential to cause degenerative changes in the overlying retina. The proposed mechanism for the observed development of retinal telangiectasias in these benign choroidal tumors is a response to localized ischemia of the retina overlying these lesions. A novel fluorescein angiographic finding in a circumscribed choroidal hemangioma, diffuse choroidal hemangioma, and choroidal osteoma is presented. To our knowledge, this finding has not been previously reported.
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