Indian Journal of Ophthalmology

REVIEW ARTICLE
Year
: 2019  |  Volume : 67  |  Issue : 12  |  Page : 1965--1973

Circumscribed choroidal hemangioma: An overview of clinical manifestation, diagnosis and management


Mrittika Sen, Santosh G Honavar 
 Ocular Oncology Service, Centre for Sight, Hyderabad, Telangana, India

Correspondence Address:
Dr. Santosh G Honavar
Ocular Oncology Service, Centre for Sight, Hyderabad, Telangana
India

Circumscribed choroidal hemangioma is a benign vascular tumor which presents in middle-aged adults with progressive diminution of vision, metamorphopsia, floaters, and visual field defects. Diagnosis is based on the characteristic clinical features. It is an orange-red, usually solitary, tumor situated in the posterior pole. The visual symptoms are because of the associated subretinal fluid, cystoid macular edema, and, in long-standing cases, retinal pigment epithelium changes, subretinal fibrosis and retinoschisis. It must be distinguished from the more ominous amelanotic melanoma and choroidal metastasis. Diagnostic tools such as ultrasound, fundus fluorescein angiography, indocyanine green angiography, and optical coherence tomography are helpful in cases with diagnostic dilemma. Treatment is indicated in symptomatic cases. The management of choroidal hemangioma has evolved over the years beginning with laser photocoagulation to transpupillary thermotherapy, photodynamic therapy, plaque brachytherapy and external beam radiotherapy. No one therapeutic option holds superiority over the other. In this article, we review the epidemiology, clinical manifestations and treatment of the circumscribed variant of choroidal hemangioma.


How to cite this article:
Sen M, Honavar SG. Circumscribed choroidal hemangioma: An overview of clinical manifestation, diagnosis and management.Indian J Ophthalmol 2019;67:1965-1973


How to cite this URL:
Sen M, Honavar SG. Circumscribed choroidal hemangioma: An overview of clinical manifestation, diagnosis and management. Indian J Ophthalmol [serial online] 2019 [cited 2024 Mar 29 ];67:1965-1973
Available from: https://journals.lww.com/ijo/pages/default.aspx/article.asp?issn=0301-4738;year=2019;volume=67;issue=12;spage=1965;epage=1973;aulast=Sen;type=0