Photodynamic therapy with verteporfin plus intravitreal bevacizumab for circumscribed choroidal hemangioma: 4 years of follow-up
Conclusion: Combination therapy was associated with a rapid and persistent resolution of subretinal fluid, improvement of best-corrected visual acuity, and visual stability at 4 years of follow-up.
CONCLUSIONS: Patients within the intermediate and high-risk strata for ischemic stroke must undergo a 6-vessel cerebral angiography and further hemodynamic evaluation to indicate need for cerebral revascularization to prevent ischemic stroke. Non-progressive vasculopathy associated with PHACES can itself be hemodynamically relevant for neurosurgical intervention. This vasculopathy is distinct from moyamoya angiopathy, which can occur in conjunction with PHACES, resulting in concurrent progressive vasculopathy that would otherwise be absent. PMID: 32276757 [PubMed - as supplied by publisher]
Conclusion: Delayed spontaneous suprachoroidal hemorrhage can present as a choroidal mass. Multimodal imaging helps to differentiate it from other sight-threatening and life-threatening ocular diseases. PMID: 32095214 [PubMed]
CT angiography (CTA) can be used for planning procedural and operative therapies for neonatal vascular lesions, such as congenital hemangiomas (CH), that are too morbid for medical therapy. Neonatal anatomy can be displayed within a small enough field-of-view that the nominal resolution of a modern CT scanner can be realized with a standard 512 × 512 storage matrix, yielding isometric ultrahigh resolution data and allowing for microvascular volume visualization. This case report details the creation and use of microvascular volume visualizations of CTA data during pre-procedural planning for treatment of this pathological entity.
In conclusion, we report the rare case of a 76-year-old woman with primary RHBA complicating BPAF with giant BAAs who was successfully treated by BAE.
AbstractA 24-year-old male presented with history of recurrent unresolving haemoptysis since 1.5 years. He underwent repeated hospitalisation. Initial computed tomography (CT) scan was suggestive of pneumonitis of the left lower lobe and was treated conservatively with broad-spectrum antibiotics. He had no past history of pulmonary tuberculosis. On presentation at our hospital, a repeat CT pu lmonary angiogram was done which showed a low attenuating mass lesion in the left lower lobe with eccentric calcification supplied by branches from the left pulmonary artery. Few dot-like enhancing pulmonary veins are noted with...
631Objectives: The purpose of this study was to determine the capability of single-photon emission computed tomography/computed tomography(SPECT/CT) to differentiation of cavernous hemangioma from other orbital tumours. Methods 119 patients( 50 males and 69 females; mean age, 44.6±15.8 [SD] years; age range, 6-80 years) with unilateral orbital tumours, including 63 cavernous hemangiomas and 56 other orbital tumours, were examined. The scanning procedure included an initial perfusion phase, followed by an early and a delayed blood pool phase. All patients underwent ultrasonography and CT, and 76 patients also underwe...
Conclusion: In this pilot study, elevated CT was associated with a risk of developing CCH as well as CSCR in patients of varying ages. Patients diagnosed with CCH should be screened for CSCR in the fellow eye. Further exploration of this association may reveal useful clues about the biology of abnormally elevated choroidal hyperpermeability and its various clinical manifestations.Ocul Oncol Pathol
Diagnosis of circumscribed choroidal hemangioma could be challenging in some patients. The classical features of orange colored mass on fundus examination, acoustic solidity and high internal reflectivity on B- and A-scan ultrasonography, and late “wash-out” hypofluorescence on the late phase of indocyanine green angiography might not be enough for diagnosis. In a review of 200 circumscribed choroidal hemangiomas, Shields et al. reported that 38% of cases were initially diagnosed as choroidal melanoma or metastasis before referral to the ocular oncology center.1With axial resolution up to 5
Objective: The purpose of this study was to evaluate the clinical value of technetium-99m-red blood cell (99mTc-RBC) scintigraphy in the diagnosis of orbital cavernous hemangioma (OCH). Patients and methods: Forty-one patients with pathologically confirmed orbital mass, of which 10 were OCH, underwent 99mTc-RBC scintigraphy in this study. The scanning procedure included an initial perfusion phase, followed by an early and a delayed blood pool phase. All patients underwent ultrasonography and computed tomography (CT), and 15 patients also underwent MRI. Results: All 10 OCH patients had no abnormal findings on radionuclide...
Conclusion: Spectral domain optical coherence tomography and scanning laser ophthalmoscope retro-mode imaging may be useful for evaluating the pathophysiologic features and the full extent of the retinal cavernous hemangioma.