Título / Title

Photodynamic Therapy as Gold Standard in Treatment of Choroidal Hemangioma

Introdução / Purpose

Present case of patient with choroidal hemangioma that after photodynamic therapy obtained significant improvement of vision, with preservation of the retinal function

Material e Método / Methods

CASE REPORT AND LITERATURE REVIEW

Resultados / Results

WMS, 40 YEARS OLD, AIRPLANE PILOT, CAME INTO SERVICE WITH LOSS OF VISION IN LEFT EYE SOME DAYS AGO. VISUAL ACUITY WAS 20/40 AT THE FIRST VISIT AND WAS 20/70 1 WEEK AFTER. NO OPHTHALMOLOGICAL BACKGROUND AND CHANGES IN ANTERIOR BIOMICROSCOPY. PRESENTED THE LEFT EYE FUNDOSCOPY WITH OPTICAL DISK OF NORMAL DIMENSIONS AND OVERTAKEN INJURY, ORANGE, IN AN UPPER TEMPORAL ARCH WITH MACULAR EDEMA. WE REQUESTED, ULTRASOUND, FLUOROSCEIN ANGIOGRAPHY AND MACULAR OCT. WITH THE RESULTS OF THE EXAMS, IT WAS POSSIBLE TO PERFORM THE DIAGNOSIS OF CHOROIDAL HEMANGIOMA AND OPTED FOR ARGON LASER TREATMENT AND INTRAOCULAR ANTI-VEGF APPLICATION, WITHOUT IMPROVEMENT OF THE CONDITION. TREATMENT WITH PHOTODYNAMIC THERAPY (PDT) WAS THEN PERFORMED. AFTER 30 DAYS OF TREATMENT, THE PATIENT RETURNED WITH VISUAL ACUITY OF 20/20 IN OE. IN THE FUNDOSCOPY THERE WAS A DECREASE IN THE LESION (ALT: 3.0 MM IN THE US) AND SEROUS DETACHMENT. AT THE OCT, NO SUBRETINAL FLUID WAS DETECTED IN THE MACULAR AREA WITH INTEGRITY OF THE RETINAL LAYERS.

Discussão e Conclusões / Conclusion

THERAPY IS THE GOLD STANDARD TREATMENT IN CHOROIDAL HEMANGIOMAS. IT CONSISTS OF A SELECTIVE LASER THAT IS ABLE TO SELECTIVELY OCCLUDE THE CHOROID LESION, WITHOUT DAMAGING THE RETINA AND ITS VASCULARIZATION, CAUSING NO INTERFERENCE IN THE RETINAL FUNCTION

Palavras Chave

Photochemoterapy; retina; choroid