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Choroid Hemangioma

Choroidal Hemangiomata


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.[journalofoptometry.org]
  • Presents a more streamlined format to the printed text to help you focus on the clinically actionable information you need everyday.[books.google.com]
Hyperthermia
  • This laser penetrates deeper, causing hyperthermia and occlusion of blood vessels with less damage to the surrounding retina. This leads to a decrease in subretinal fluid as well as a decrease in overall tumor size.[journalofoptometry.org]
Cutaneous Manifestation
  • […] syndrome BENDL BJ Cutis 31, 286-299, 1983 被引用文献1件 2 GASS JDM Stereoscopic Atlas of Macular Disease 1, 217-231, 1997 被引用文献1件 3 Aspects opthalmologiques des angiomatose du systeme nerveux DANIS P Acta Neurol Psychiatr Belg 50, 615-679, 1950 被引用文献1件 4 The cutaneous[ci.nii.ac.jp]
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]
  • 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]
  • 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]
  • The most common symptom in patients with CCH is blurred vision secondary to macular edema. If complications do arise, there are several treatment options available.[journalofoptometry.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]
Facial Hemihypertrophy
  • The clinical diagnostic criteria include ipsilateral neveus flammeus, seizures, hemiparesis, mental retardation, buphthalamos, ipsilateral bone and sinus hypertrophy, facial hemihypertrophy, and somatic hemiatrophy [3].[ijri.org]
Behavior Problem
  • 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]
Tonic-Clonic Seizure
  • An 11-year-old girl presented with two episodes of generalized tonic clonic seizures of 1-year duration, and gradual loss of right eye vision of 2-years' duration.[ijri.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]

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.[journalofoptometry.org]
  • 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]
  • 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]
  • In general, these treatments exhibit high iatrogeny and are associated to a high rate of relapses.[kundoc.com]

Prognosis

  • 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]
  • 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]
  • 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]
  • Visual prognosis is good unless the hemangioma involves the macula.[eyewiki.aao.org]
  • Diffuse choroidal hemangiomas can be associated with systemic Sturge-Weber syndrome and have a poorer long-term visual prognosis due to coexistent amblyopia and glaucoma.[retinatoday.com]

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]
  • 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 Choroidal melanomas are found most often in countries with large populations of people of northern European decent.[atlasgeneticsoncology.org]
  • 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]
Sex distribution
Age distribution

Pathophysiology

  • […] 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]
  • Pathophysiology Neuroectodermal origin: The structure is similar to normal choroid plexus, and it is formed of epithelial cells.[ispn.guide]
  • 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: pulido.jose@mayo.edu 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]
  • In these cases, radiation can be used to cause regression and thinning of the hemangioma in the iris and prevent vision loss. Related Links Search for scientific articles about choroidal hemangioma Search the Internet about Choroidal Hemangioma[eyecancer.com]
  • 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]

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