|Year : 2018 | Volume
| Issue : 10 | Page : 1473-1474
Fluorescein cap: Fluorescein angiographic feature of retinal cavernous hemangioma
Madhu Kumar1, Navaneetha Reddy1, Vinaya Kumar Konana1, Ashok Kanakamedla1, Surabhi Ruia2, Jayamadhury Gudimetla1
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 Publication||24-Sep-2018|
Dr. Madhu Kumar
Sankara Eye Hospital, Guntur Vijayawada Express Highway, Pedakakani, Guntur, Andhra Pradesh
Source of Support: None, Conflict of Interest: None
|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 2020 Apr 7];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., 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. 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. 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”|
Click here to view
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
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.
Gass JD. Cavernous hemangioma of the retina. A neuro-oculo-cutaneous syndrome. Am J Ophthalmol 1971;71:799-814.
Shanmugam PM, Ramanjulu R. Vascular tumors of the choroid and retina. Indian J Ophthalmol 2015;63:133-40.
] [Full text]