title: Vitrectomy for Tractional Retinal Detachment with Twin Retinal Capillary Hemangiomas in a Patient with Von Hippel-Lindau Disease: A Case Report.
abstract: OBJECTIVE
  The purpose of this study was to report a case of Von Hippel-Lindau disease (VHL) with twin retinal capillary hemangiomas that was successfully treated by vitreous surgery for tractional retinal detachment following laser photocoagulation.
  
  
  METHODS
  A 44-year-old male presented at our university hospital after noticing decreased visual acuity in his right eye. The patient had previously undergone multiple operations for cerebellar, thoracic, and lumbar spine hemangioblastomas when he was approximately 19 years old. Upon initial examination, ocular findings revealed twin connected retinal capillary hemangiomas around the temporal upper area of the patient's right eye. The patient was subsequently diagnosed with VHL based on his medical history and current observations of the ocular fundus. Tractional retinal detachment had occurred as the result of the formation of proliferative membranes following laser photocoagulation. The patient underwent vitreous surgery to treat the tractional retinal detachment, resulting in a successful postoperative outcome.
  
  
  CONCLUSIONS
  The findings of this study show the possibility that proliferative changes and tractional retinal detachment can arise following photocoagulation for retinal capillary hemangiomas in patients with VHL.
authors.affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Suzuki
authors.affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan; Department of Ophthalmology, Yao Tokushukai Hospital, Yao City, Japan.
authors.forename: Keigo
authors.initials: K
authors.lastname: Kakurai
authors.affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors.forename: Seita
authors.initials: S
authors.lastname: Morishita
authors.affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan; Department of Ophthalmology, Takatsuki Red Cross Hospital, Takatsuki City, Japan.
authors.forename: Daisaku
authors.initials: D
authors.lastname: Kimura
authors.affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors.forename: Masanori
authors.initials: M
authors.lastname: Fukumoto
authors.affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan; Department of Ophthalmology, Takatsuki Red Cross Hospital, Takatsuki City, Japan.
authors.forename: Takaki
authors.initials: T
authors.lastname: Sato
authors.affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors.forename: Teruyo
authors.initials: T
authors.lastname: Kida
authors.affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors.forename: Mari
authors.initials: M
authors.lastname: Ueki
authors.affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors.forename: Jun
authors.initials: J
authors.lastname: Sugasawa
authors.affiliation: Department of Ophthalmology, Osaka Medical College, Takatsuki City, Japan.
authors.forename: Tsunehiko
authors.initials: T
authors.lastname: Ikeda
keywords: Laser photocoagulation; Retinal capillary hemangiomas; Tractional retinal detachment; Vitrectomy; Von Hippel-Lindau disease