Presentation
The mean age at presentation was 54.9 years (range: 19 to 88). The mean follow up after presentation was 42.8 months. [iovs.arvojournals.org]
Abstract Choroidal hemangioma is a rare congenital ocular tumor that can present as either circumscribed or diffuse. [ncbi.nlm.nih.gov]
Presents a more streamlined format to the printed text to help you focus on the clinically actionable information you need everyday. [books.google.com]
Entire Body System
- Weakness
None of the survival predictors correlated with age at death among the patients who died of metastasis except for mitotic count, which had a weak correlation. [7, 8] Systemic chemotherapy Although undetected metastatic spread at the time of diagnosis [emedicine.medscape.com]
Costa et al. successfully used the weak photodynamic effects of ICG in TTT to treat CNV in 2 patients [ 97 ]. [omicsonline.org]
In weak prisms this is not so evident, but they can always be recognised by the displacement which they cause when an object is seen through them, by quickly putting the prism up before one eye, the other being closed, or if the prism be rotated before [archive.org]
- Unconsciousness
An unconscious effort is then made by the patient to bring the macula, M, into the position B. c c A D Fig. 7.— Prism held obliquely, both vertical and horizontal lines displaced. 6 DISEASES OF THE EYE. [chap. r. [archive.org]
Skin
- Macula
[…] features of the dome-shaped macula. [ojoonline.org]
34% were between the macula and the equator, and no tumors were anterior to the equator. 5 In the second-largest series of 45 patients with circumscribed choroidal hemangioma reported by Witschel and Font, all of the circumscribed tumors were located [clinicalgate.com]
If they are located in the macula (center of vision) or they leak fluid which causes a retinal detachment or cystic changes in the retina, these changes can affect vision. [diagnose-me.com]
[…] or if a diffuse hemangioma is particularly thick in the macula, progressive degeneration of the overlying retinal pigment epithelium and sensory retina often occurs. [medtextfree.wordpress.com]
Visual prognosis is good unless the hemangioma involves the macula. [eyewiki.aao.org]
Eyes
- Blurred Vision
A 70-year-old male presented with blurred vision of the left eye (OS). Best-corrected visual acuity (BCVA) was 20/60 right eye and 20/160 OS. Biomicroscopy revealed bilateral cataracts. [ncbi.nlm.nih.gov]
Amblyopia (lazy eye) As the tumor blurs the vision, the brain gradually ignores the blurred vision from that eye and the eye drifts or crosses (strabismus). [sturge-weber.org]
You may have blurred vision, wavy or warped vision, or floaters, shadows, or sparks of light in your vision. How is a choroidal hemangioma diagnosed? A choroidal hemangioma is usually found during a routine eye exam. [drugs.com]
A 52-year-old myopic male with a refraction of –8.00 D in both eyes (OU) noted blurred vision in his left eye (OS) for 4 years. [ojoonline.org]
- Visual Acuity Decreased
Most patients demonstrated recovery of vision (69%), some remained stable at their pre-treatment vision level (27.5%), and 1 patient had slight visual acuity decrease. [omicsonline.org]
- Retinal Hemorrhage
hemorrhages have also been reported. 5 Exudates are uncommon in melanocytic lesions. [clinicalgate.com]
- Enophthalmos
Orbital Cellulitis— Tenonitis — Periostitis of the Orbit, — Caries of the Orbit — Injuries of the Orbit — Enophthalmos— Orbital Tumours — Hernia Cerebri— Cysts — Solid Tumours — Sym- metrical Tumours — Pulsating Exophthalmos — Intermit tent CONTENTS. [archive.org]
Workup
When distant metastases are found during the initial systemic workup, treatment of the intraocular melanoma itself becomes palliative. [emedicine.medscape.com]
Diagnosis and Workup “Tomato catsup fundus” is a term often used to describe the red-orange choroid seen in patients with diffuse choroidal hemangiomas. [reviewofophthalmology.com]
Colonoscopy
- Polyps
NIH: National Cancer Institute Biopsy - polyps (Medical Encyclopedia) Cherry angioma (Medical Encyclopedia) [ Read More ] Birthmarks Also called: Cafe au lait spot, Hemangioma, Mongolian spot, Nevus, Strawberry mark Birthmarks are abnormalities of the [icdlist.com]
Timely intervention in cases with symptomatic polyps could achieve stabilization of VA. Thermal laser and PDT were safe and effective. [aetna.com]
FAP is a syndrome with an autosomal dominant mode of inheritance that causes the development of hundreds of pre-malignant colonic polyps and is caused by a mutation in the APC gene located on chromosome 5q21. [atlasgeneticsoncology.org]
Treatment
It can also be used to evaluate the efficacy of treatment. 2, 13 Treatment options CCH is often an asymptomatic lesion. In this case, close observation is the only treatment warranted. [ncbi.nlm.nih.gov]
It can also be used to evaluate the efficacy of treatment. 2,13 Treatment options CCH is often an asymptomatic lesion. In this case, close observation is the only treatment warranted. [journalofoptometry.org]
Choroidal hemangioma can be stable and not require treatment. [eyecancer.com]
Treatment The decision to treat a CCH should be individualized. The physician should base treatment on the extent of symptoms, loss of vision, and the potential for visual recovery. [retinalphysician.com]
Prognosis
Melanomas with predominantly spindle cells have thin elongated cells and imply better prognosis. Epithelioid cell type melanoma has round cells and imply worse prognosis. There are two basic types of melanoma by genetics: high risk and low risk. [fighteyecancer.com]
Prognosis The prognosis for all forms of nevi tends to be good with iris nevi showing enlargement in less than 5% of cases (Territo et al., 1988). [atlasgeneticsoncology.org]
Visual prognosis is good unless the hemangioma involves the macula. [eyewiki.aao.org]
Prognosis. Sturge-Weber syndrome, with its neural involvement, leads to seizures that can be intractable; it has been associated with developmental delay and behavioral problems. [retinalphysician.com]
The prognosis of RCC is better in VHL patients than in sporadic ones, and metastases are claimed to appear in VHL only after the primary tumor exceeds 7 cm in diameter 121. [ethesis.helsinki.fi]
Etiology
Disease Medulloepithelioma Etiology Medulloepithelioma is a tumor that arises from the epithelium of the medullary tube, most often the ciliary body. [atlasgeneticsoncology.org]
Discussion Choroidal hemangioma is a benign vascular hamartoma that can be separated into two subtypes: circumscribed and diffuse. 1 The etiology of vision loss in choroidal hemangioma can be attributed to foveal distortion, subretinal fluid, intraretinal [reviewofophthalmology.com]
Diagnose a tumor which has etiological and pathogenic connection with a myasthenia. A 60-year-old man with a 90 pack year history of smoking experiences an episode of hemoptysis. A chest radiograph reveals a 5-cm right upper lobe lung mass. [doclecture.net]
— Etiology of H. — Symptoms of II. — Accommodative Asthenopia in H. — Internal Strabismus in H. — The Prescribing of Spectacles in H.. . [archive.org]
Epidemiology
Keywords: 461 clinical (human) or epidemiologic studies: natural history • 452 choroid • 744 tumors © 2014, The Association for Research in Vision and Ophthalmology, Inc., all rights reserved. [iovs.arvojournals.org]
Epidemiology Choroidal melanomas are found most often in countries with large populations of people of northern European decent. [atlasgeneticsoncology.org]
Diagnosis: Choroidal Hemangioma EPIDEMIOLOGY Rare; exact incidence is unknown Likely congenital Nearly all cases have been in Caucasians No gender preference SIGNS Orange-red, flesh-colored, or pinkish lesion Usually near the optic disc Unilateral and [webeye.ophth.uiowa.edu]
EPIDEMIOLOGY AND PATHOGENESIS Choroidal hemangiomas appear to be vascular birthmarks. They are relatively uncommon, but their precise incidence in the general population is unknown. They affect both sexes and all ethnic groups. [medtextfree.wordpress.com]
Egan KM, Seddon JM, Glynn RJ, Gragoudas ES, Albert DM (1988) Epidemiologic aspects of uveal melanoma. Surv Ophthalmol 32: 239-251. Augsburger JJ, Damato BE, Bornfield N, Uveal Melanoma, Yanoff M, et al. (2009) Mosby: London 895-905. [omicsonline.org]
Pathophysiology
Pathophysiology Neuroectodermal origin: The structure is similar to normal choroid plexus, and it is formed of epithelial cells. [ispn.guide]
[…] however, this lesion is the wrong color) Choroidal metastasis (however, generally amelanotic unless from melanoma) Additional Investigations CT chest, abdomen, pelvis done for evaluation of metastatic disease and staging was negative Choroidal melanoma Pathophysiology [eyewiki.org]
Presentation, diagnosis, pathophysiology and treatment of the neurologic features of Sturge-Weber Syndrome. The Neurologist 2011;17:4:179. 12. Sullivan TJ, Clarke MP, Morin JD. The ocular manifestations of the Sturge-Weber syndrome. [reviewofophthalmology.com]
Prevention
Pulido, MD, MBA, MPH, MS, Departments of Ophthalmology and Molecular Medicine, Mayo Clinic, 200 First Street, SW, Rochester, MN 55905; e-mail: [email protected] Funded in part by unrestricted grants from Research to Prevent Blindness Inc and the Deshong [journals.lww.com]
Treatment and Prevention Most circumscribed choroidal hemangiomas can be photographed and followed for evidence of growth or leakage prior to treatment. [diagnose-me.com]
Comi Medicine, Biology Current opinion in neurology 2006 Recent advances in the understanding of the neurologic issues offer promise for preventing brain injury in Sturge-Weber syndrome. MRI in Sturge-Weber syndrome. P. TournutF. Turjman J. [semanticscholar.org]
Limiting excessive ocular sunlight exposure through sunglasses or other means may have a theoretical preventive effect in patients with a predisposition to intraocular melanoma. [emedicine.medscape.com]
Prevention of intraventricular compression shift, it is necessary to minimize the occurrence of traumatic brain injury, and have the opportunity to contact the radiation, as far as possible to avoid, do a good job head protection, to avoid all kinds of [aliub.com]