title: DIFFUSE CHOROIDAL HEMANGIOMA MASQUERADING AS CENTRAL SEROUS CHORIORETINOPATHY TREATED WITH ORAL PROPRANOLOL.
abstract: OBJECTIVE
  To describe a case of diffuse choroidal hemangioma with exudative retinal detachment treated successfully with oral propranolol.
  
  
  METHODS
  Single interventional case report of a 14-year-old boy, known case of Sturge-Weber syndrome, presented with decreased vision in the right eye since 2 months. Presenting vision was finger-counting at 3 m. Examination revealed a neurosensory detachment at the macula clinically appearing like central serous chorioretinopathy. Fundus fluorescein angiogram, B-scan ultrasound, and optical coherence tomography were consistent with an underlying diffuse choroidal hemangioma with secondary exudative macular detachment. The patient could not afford radiotherapy and thus was treated with oral propranolol.
  
  
  RESULTS
  Serial clinical examinations and optical coherence tomographies showed gradual resolution of the subretinal fluid. Vision at the last visit 4 months after treatment was 6/9 best corrected.
  
  
  CONCLUSIONS
  Choroidal hemangioma can be mistaken clinically to be central serous chorioretinopathy. Oral propranolol is an effective and economical treatment option in patients not affording other standard modalities of treatment.
authors.affiliation: *Ophthalmic Plastic Surgery Services, LV Prasad Eye Institute, Hyderabad, India; †Smt. Kanuri Santhamma Center for Vitreo Retinal Diseases, LV Prasad Eye Institute, Hyderabad, India; and ‡Department of Vitreo-Retina, Netra Mandir Hi-Tech Eye Institute, Mumbai, India.
authors.forename: Tarjani
authors.initials: T
authors.lastname: Dave
authors.forename: Vivek Pravin
authors.initials: VP
authors.lastname: Dave
authors.forename: Gaurav
authors.initials: G
authors.lastname: Shah
authors.forename: Rajeev R
authors.initials: RR
authors.lastname: Pappuru
mesh_terms: D000293:Adolescent; D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use*; D056833:Central Serous Chorioretinopathy / Q000175:diagnosis*; D002830:Choroid Neoplasms / Q000188:drug therapy*; D003937:Diagnosis, Differential; D006391:Hemangioma / Q000188:drug therapy*; D006801:Humans; D008297:Male; D011433:Propranolol / Q000627:therapeutic use*; D012163:Retinal Detachment / Q000188:drug therapy; D013341:Sturge-Weber Syndrome / Q000150:complications; D058471:Subretinal Fluid; D016896:Treatment Outcome
chemical_list: D000319:Adrenergic beta-Antagonists; D011433:Propranolol