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BRIEF COMMUNICATION
Year : 2017  |  Volume : 65  |  Issue : 10  |  Page : 1049-1051

Optical coherence tomography angiography of circumscribed choroidal hemangioma treated with photodynamic therapy


San Paolo Ophthalmic Center, San Antonio Hospital, Padova, Italy

Correspondence Address:
Giuseppe Lo Giudice
San Paolo Ophthalmic Center, San Antonio Hospital, Padua
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_237_17

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We describe features of a circumscribed choroidal hemangioma (CCH) treated with photodynamic therapy (PDT) by means of optical coherence tomography angiography (OCT-A). A 40-year-old man had a complaint of decreasing visual acuity in his left eye for 10 days. A diagnosis of CCH was confirmed by fundus examination, fluorescein angiography, and indocyanine green angiography. An OCT-A study of choroidal lesion before and after PDT was carried out. Segmented en face OCT-A of CCH showed multiple irregular connected vascular channels with hyperflow and a capillary-like lesion. Absent and/or reduced intrachannel flow in most of the intratumoral vessels was shown by OCT-A soon after treatment (2 days), with normalization of vascular flow 7 days and 1 month after PDT. OCT-A was able to noninvasively visualize intrinsic vasculature of CCH showing vascular remodeling after PDT.


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