Ocular Oncology Service, Department of Ophthalmology, Hacettepe University School of Medicine, Ankara, Turkey.
Private Practice, Istanbul, Turkey.
Int Ophthalmol. 2024 Jul 2;44(1):307. doi: 10.1007/s10792-024-03238-y.
To review long-term outcomes of circumscribed choroidal hemangioma (CCH).
Hospital charts of all CCH cases diagnosed from 2008 to 2019 were retrospectively reviewed.
All 172 patients were managed with either observation, transpupillary thermotherapy, argon laser photocoagulation, photodynamic therapy, plaque brachytherapy or stereotactic radiosurgery. The most common 3 modes of management were clinical observation (30.2%), transpupillary thermotherapy (52.9%) and argon laser photocoagulation (8.7%). Median follow-up time was 10 months (range: 3, 160). Anatomical outcomes were stable in 87.1% of observation group and improved in 60.5% of thermotherapy group. Quantified optical coherence tomography angiography findings showed statistical differences in vascular and perfusion densities in fellow eyes of hemangioma patients.
Circumscribed choroidal hemangioma can be treated in various ways. Transpupillary thermotherapy is an anatomically effective treatment in selected cases. The diagnosis of CCH may have vascular implications in fellow eyes of the patients.
回顾局限性脉络膜血管瘤（CCH）的长期结果。
回顾 2008 年至 2019 年期间诊断的所有 CCH 病例的病历。
所有 172 例患者均接受观察、经瞳孔温热疗法、氩激光光凝、光动力疗法、放射性敷贴治疗或立体定向放射外科治疗。最常见的 3 种治疗方式为临床观察（30.2%）、经瞳孔温热疗法（52.9%）和氩激光光凝（8.7%）。中位随访时间为 10 个月（范围：3~160）。观察组中 87.1%的解剖学结果稳定，热疗组中 60.5%的解剖学结果改善。定量光学相干断层扫描血管造影发现，血管瘤患者对侧眼的血管密度和灌注密度存在统计学差异。
局限性脉络膜血管瘤可以通过多种方式治疗。经瞳孔温热疗法是一种在选定病例中具有解剖学效果的治疗方法。CCH 的诊断可能对患者对侧眼的血管有影响。
