Indian Journal of Ophthalmology

OPHTHALMIC IMAGE
Year
: 2018  |  Volume : 66  |  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

Correspondence Address:
Dr. Madhu Kumar
Sankara Eye Hospital, Guntur Vijayawada Express Highway, Pedakakani, Guntur, Andhra Pradesh
India




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;66:1473-1474


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 2024 Mar 29 ];66:1473-1474
Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?2018/66/10/1473/242028


Full Text



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}

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References

1Shields 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.
2Gass JD. Cavernous hemangioma of the retina. A neuro-oculo-cutaneous syndrome. Am J Ophthalmol 1971;71:799-814.
3Shanmugam PM, Ramanjulu R. Vascular tumors of the choroid and retina. Indian J Ophthalmol 2015;63:133-40.