Abstract • Two patients with choroidal hemangiomas developed choroidal neovascularization. One patient with Sturge-Weber syndrome, a unilateral diffuse choroidal hemangioma, and a serous detachment of the macula was treated with yellow dye laser photocoagulation in a grid pattern to the tumor before glaucoma filtration surgery. Four years after successful laser treatment, the patient developed subfoveal choroidal neovascularization in an area of treatment. A second patient with a circumscribed choroidal hemangioma developed spontaneous subfoveal choroidal neovascularization 12 years after initial diagnosis of the hemangioma. The development of choroidal neovascularization associated with choroidal hemangiomas represents a potential cause of poor visual outcome in these patients. References 1. L'Esperance FA. Ocular Photocoagulation: A Stereoscopic Atlas . St Louis, Mo: Mosby-Year Book; 1975:169-173. 2. Gass JDM. Stereoscopic Atlas of Macular Diseases: Diagnosis and Treatment . 2nd ed. St Louis, Mo: Mosby-Year Book; 1977:130-133. 3. Finger PT, Paglione RW, and Packer S. Microwave thermotherapy for choroidal hemangioma . Am J Ophthalmol . 1991;111:240-242. 4. Sanborn GE, Augsburger JJ, Shields JA. Treatment of circumscribed choroidal hemangiomas . Ophthalmology . 1982;89:1374-1380.Crossref 5. Anand R, Augsburger JJ, Shields JA. Circumscribed choroidal hemangiomas . Arch Ophthalmol . 1989;107:1338-1342.Crossref 6. Lindsey PS, Shields JA, Goldberg RE, Augsburger JJ, Frank PE. Bilateral choroidal hemangiomas and facial nevus flammeus . Retina . 1981;1:88-95.Crossref 7. Macular Photocoagulation Study Group. Persistent and recurrent neovascularization after krypton laser photocoagulation for neovascular lesions of age-related macular degeneration . Arch Ophthalmol . 1990;108:825-831.Crossref 8. Wallow IH, Myers FL, Kim YM, Bindley C. Subretinal new vessels after krypton laser photocoagulation . Arch Ophthalmol . 1985;103:1844-1848.Crossref 9. Ryan SJ. Subretinal neovascularization: natural history of an experimental model . Arch Ophthalmol . 1982;100:1804-1809.Crossref 10. Archer DB, Gardiner TA. Electron microscopic features of experimental choroidal neovascularization . Am J Ophthalmol . 1981;91:433-457. 11. Miller H, Miller B, Ishibashi T, Ryan SJ. Pathogenesis of laser induced choroidal subretinal neovascularization . Invest Opthalmol Vis Sci . 1990;31:899-908. 12. Francois J, Delaey JJ, Cambie E, Hanssens M, Victoria-Troncoso VV. Neovascularization after argon laser photocoagulation of macular lesions . Am J Ophthalmol . 1975;79:206-210. 13. Witschel H, Font RL. Hemangioma of the choroid: a clinicopathologic study of 71 cases and a review of the literature . Surv Ophthalmol . 1976;20:415-431.Crossref
Archives of Ophthalmology – American Medical Association
Published: May 1, 1992
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