title: Vitrectomy for circumscribed choroidal hemangioma with exudative retinal detachment refractory to transpupillary thermotherapy.
abstract: We report successful surgical management of a circumscribed choroidal hemangioma with exudative retinal detachment refractory to transpupillary thermotherapy (TTT). A 33-year-old man with symptomatic serous macular detachment in the left eye (Snellen acuity: 20/200) secondary to a paramacular choroidal hemangioma was treated with TTT. The nonresponsive detachment was subsequently managed by vitrectomy, endophotocoagulation and silicon-oil tamponade. It resulted in complete resolution of the tumor and the detachment. Silicon oil was removed at four months. Visual acuity improved to 20/80 by the last follow-up visit at 10 months without any recurrence.
authors.affiliation: Retina-Vitreous Service, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India. daksh@aravind.org
authors.forename: Dhananjay
authors.initials: D
authors.lastname: Shukla
authors.forename: Kim
authors.initials: K
authors.lastname: Ramasamy
mesh_terms: D000328:Adult; D002830:Choroid Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D005122:Exudates and Transudates; D005500:Follow-Up Studies; D018324:Hemangioma, Capillary / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D006979:Hyperthermia, Induced / Q000379:methods*; D007267:Injections; D008297:Male; D011680:Pupil; D012163:Retinal Detachment / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D012827:Silicone Oils / Q000008:administration & dosage; D014792:Visual Acuity; D014821:Vitrectomy / Q000379:methods*; D014822:Vitreous Body
chemical_list: D012827:Silicone Oils