Abstract • A man with a circumscribed choroidal hemangioma was followed up for almost 10 years as the tumor showed gradual, progressive enlargement in both diameter and thickness. In spite of photocoagulation therapy, a total retinal detachment and blindness ensued. Enucleation was performed because the possibility of amelanotic choroidal melanoma could not be absolutely excluded. Although the tumor thickness measured by ultrasonography before enucleation was 4.5 mm, the lesion measured only 2.0 mm in thickness in the pathology laboratory. Circumscribed choroidal hemangioma rarely demonstrates clinical evidence of growth. It appears that the tumor enlargement noted in this case was due to venous congestion in the tumor and not to cell multiplication. References 1. Shields JA, Shields CL. Intraocular Tumors: A Text and Atlas . Philadelphia, Pa: WB Saunders Co; 1992:239-259. 2. Shields CL, Shields JA, De Potter P. Hydroxyapatite orbital implant after enucleation: experience with 100 consecutive cases . Arch Ophthalmol . 1992;110:333-338.Crossref 3. 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 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. Pitta C, Bergen R, Littwin S. Spontaneous regression of a choroidal hemangioma following pregnancy . Ann Ophthalmol . 1979;11:772-774. 7. Shields JA. Vasculogenic tumors and malformations . In: Diagnosis and Management of Orbital Tumors . Philadelphia, Pa: WB Saunders Co; 1989; 124-128. 8. Shields JA, Augsburger JJ, Brown GC, Stephens RF. The differential diagnosis of posterior uveal melanomas . Ophthalmology . 1980;87:518-522.Crossref
Archives of Ophthalmology – American Medical Association
Published: Sep 1, 1992
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