Long-term (4 years) results of choroidal hemangioma treated with proton beam irradiation

Abstract

Proton therapy with 20 CGE is an efficient primary therapy in choroidal hemangioma and is very effective as a secondary treatment after PDT.

Circumscribed choroidal hemangioma: A case report and literature review

“…Like other radiotherapies, proton beam radiation causes a decrease in tumor size and subsequent resolution of subretinal fluid. This procedure, however, is very expensive and has very limited availability 7, 9. Generally, the radiation therapy of choice is episcleral plaque radiotherapy.…”

“…Its relative lack of efficacy may be due to the nature of the mature vessels composing the hemangioma, as opposed to neovascular vessels or vessels that have been compromised by diabetic disease. Due to its short-term effect, this treatment is often combined with other previously mentioned therapies for CCH 7, 9, 16…”

“…Most eyes that undergo enucleation are result of the misdiagnosis of a choroidal melanoma 7, 13. This underscores the importance of ancillary testing and proper diagnosis.…”

“…This underscores the importance of ancillary testing and proper diagnosis. Other reasons for enucleation include a total retinal detachment or development of neovascular glaucoma resulting in a blind painful eye 7, 13…”

“…Once the diagnosis has been made, referral to a retinal specialist is usually warranted. Treatment options include laser photocoagulation, thermotherapy, radiotherapy, photodynamic therapy (PDT), and anti-vascular endothelial growth factor (VEGF) therapy 1, 5, 6, 7, 8, 9…”