DIFFUSE CHOROIDAL HEMANGIOMA MASQUERADING AS CENTRAL SEROUS CHORIORETINOPATHY TREATED WITH ORAL PROPRANOLOL. Issue Volume 10:Issues 1(2016:Winter) (2016)

• Record Type: Journal Article
• Authors: Dave, Tarjani; Dave, Vivek Pravin; Shah, Gaurav; Pappuru, Rajeev R.
• Is Part Of: Retinal cases & brief reports. Volume 10:Issues 1(2016:Winter)
• Publication Date: 2016
• Subjects: diffuse choroidal hemangioma -- oral propranolol -- exudative retinal detachment; Retina -- Diseases -- Periodicals; Retina -- Periodicals; Retinal Diseases -- Periodicals; Retina -- Case Reports; Retinal Diseases -- Case Reports; 617.7
• DOI: 10.1097/ICB.0000000000000165
• Languages: English
• ISSNs: 1935-1089

Abstract

Abstract : Purpose: 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. Conclusion: 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. Abstract : This report describes a case of diffuse choroidal hemangioma in Sturge–Weber syndrome, which had a good clinical outcome after therapy with oral propranolol. Diagnosis was confounded by a clinical presentation similar to central serous chorioretinopathy.