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   Table of Contents      
OPHTHALMIC IMAGE
Year : 2018  |  Volume : 66  |  Issue : 10  |  Page : 1473-1474

Fluorescein cap: Fluorescein angiographic feature of retinal cavernous hemangioma


1 Department of Vitreoretina, Sankara Eye Hospital, Pedakakani, Guntur, Andhra Pradesh, India
2 Department of Vitreoretina and Ocular Oncology, Sankara Eye Hospital, Varthur, Marathahalli, Bengaluru, Karnataka, India

Date of Web Publication24-Sep-2018

Correspondence Address:
Dr. Madhu Kumar
Sankara Eye Hospital, Guntur Vijayawada Express Highway, Pedakakani, Guntur, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_852_18

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How to cite this article:
Kumar M, Reddy N, Konana VK, Kanakamedla A, Ruia S, Gudimetla J. Fluorescein cap: Fluorescein angiographic feature of retinal cavernous hemangioma. Indian J Ophthalmol 2018;66:1473-4

How to cite this URL:
Kumar M, Reddy N, Konana VK, Kanakamedla A, Ruia S, Gudimetla J. Fluorescein cap: Fluorescein angiographic feature of retinal cavernous hemangioma. Indian J Ophthalmol [serial online] 2018 [cited 2019 Dec 10];66:1473-4. Available from: http://www.ijo.in/text.asp?2018/66/10/1473/242028



Retinal cavernous hemangioma is a benign vascular tumor seen in young patients.[1],[2] It rarely grows and is usually unilateral. It is commonly seen in peripheral retina and rarely over or adjacent to disc, with saccular angiomatous lesion with bunch of grapes appearance [Figure 1]a.[1] On fundus fluorescein angiography the lesion appears hypofluorescent in early phase [Figure 1]b and with pooling of dye in upper half of saccule in late phase giving an appearance of “fluorescein cap” [Figure 1]c. This pattern can be attributed to plasma–erythrocytes interface due to stagnant blood.[3] Hence fluorescein angiography is a vital diagnostic tool in clinching diagnosis of retinal cavernous hemangioma.
Figure 1: (a) Color photograph showing saccular angiomatous lesion with bunch of grapes appearance just above the disc. (b) Fundus fluorescein angiography of the lesion showing hypofluorescence in early phase. (c) Fundus fluorescein angiography showing pooling of dye in upper half of saccule in late phase giving an appearance of “fluorescein cap”

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Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Shields JA, Shields CL. Vascular tumors of the retina and optic disc. In: Shields JA, Shields CL, editors. Intraocular Tumors, An Atlas and Textbook. 2nd ed. Philadelphia, PA: Lippincott, Williams & Wilkins; 2008.p382-9.  Back to cited text no. 1
    
2.
Gass JD. Cavernous hemangioma of the retina. A neuro-oculo-cutaneous syndrome. Am J Ophthalmol 1971;71:799-814.  Back to cited text no. 2
    
3.
Shanmugam PM, Ramanjulu R. Vascular tumors of the choroid and retina. Indian J Ophthalmol 2015;63:133-40.  Back to cited text no. 3
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