Sessile and Exophytic Capillary Angiomas of the Juxtapapillary Retina and Optic Nerve Head

Treatment and long term follow up of a capillary angioma of the optic disc

“…Capillary angiomas of the optic disc are slow growing tumours which either protrude from the optic disc surface as well demarcated tumours (endophytic) [2] or grow as intraretinal juxta-papillary haemangiomas (exophytic) [2,3]. They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3].…”

“…They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3]. Gass observed that photocoagulation should be restricted to those turnouts causing exudation and visual loss [3] and Watzke [4] noted that photocoagulation may be more hazardous than the subsequent natural course of the disease.…”

“…They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3]. Gass observed that photocoagulation should be restricted to those turnouts causing exudation and visual loss [3] and Watzke [4] noted that photocoagulation may be more hazardous than the subsequent natural course of the disease. Gass [1] reported that in addition to direct treatment of the tumour, a barrier might be created with photocoagulation applied between the capillary angioma and the macula which is then protected from subsequent exudation and detachment [1,3].…”

Treatment and long term follow up of a capillary angioma of the optic disc

“…Capillary angiomas of the optic disc are slow growing tumours which either protrude from the optic disc surface as well demarcated tumours (endophytic) [2] or grow as intraretinal juxta-papillary haemangiomas (exophytic) [2,3]. They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3].…”

“…They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3]. Gass observed that photocoagulation should be restricted to those turnouts causing exudation and visual loss [3] and Watzke [4] noted that photocoagulation may be more hazardous than the subsequent natural course of the disease.…”

“…They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3]. Gass observed that photocoagulation should be restricted to those turnouts causing exudation and visual loss [3] and Watzke [4] noted that photocoagulation may be more hazardous than the subsequent natural course of the disease. Gass [1] reported that in addition to direct treatment of the tumour, a barrier might be created with photocoagulation applied between the capillary angioma and the macula which is then protected from subsequent exudation and detachment [1,3].…”

Ophthalmological manifestations in VHL and NF 1: pathological and diagnostic implications

“…In contrast to peripheral angiomas the borders of juxtapapillary angiomas are often irregular and less well demarcated and growth pattern is variable. They may grow into the subretinal space, intraretinally or into the vitreous cavity [15]. Fluorescein angiography is helpful to discriminate juxtapapillary angioma from other lesions located at the optic disc as juxtapapillary choroidal hemangioma, choroidal melanoma or choroidal neovascular membranes ( Figure 3).…”

Classification and management of hereditary retinal angiomas

“…Three clinical types of capillary hemangioma of the optic disc have been described in persons with von Hippel's disease (13). The most easily recognized type is the endophytic hemangioma.…”

Treatment and long term follow up of a capillary angioma of the optic disc

“…Capillary angiomas of the optic disc are slow growing tumours which either protrude from the optic disc surface as well demarcated tumours (endophytic) [2] or grow as intraretinal juxta-papillary haemangiomas (exophytic) [2,3]. They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3].…”

“…They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3]. Gass observed that photocoagulation should be restricted to those turnouts causing exudation and visual loss [3] and Watzke [4] noted that photocoagulation may be more hazardous than the subsequent natural course of the disease.…”

“…They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3]. Gass observed that photocoagulation should be restricted to those turnouts causing exudation and visual loss [3] and Watzke [4] noted that photocoagulation may be more hazardous than the subsequent natural course of the disease. Gass [1] reported that in addition to direct treatment of the tumour, a barrier might be created with photocoagulation applied between the capillary angioma and the macula which is then protected from subsequent exudation and detachment [1,3].…”

Ophthalmological manifestations in VHL and NF 1: pathological and diagnostic implications

“…In contrast to peripheral angiomas the borders of juxtapapillary angiomas are often irregular and less well demarcated and growth pattern is variable. They may grow into the subretinal space, intraretinally or into the vitreous cavity [15]. Fluorescein angiography is helpful to discriminate juxtapapillary angioma from other lesions located at the optic disc as juxtapapillary choroidal hemangioma, choroidal melanoma or choroidal neovascular membranes ( Figure 3).…”

Classification and management of hereditary retinal angiomas

“…Three clinical types of capillary hemangioma of the optic disc have been described in persons with von Hippel's disease (13). The most easily recognized type is the endophytic hemangioma.…”

Treatment and long term follow up of a capillary angioma of the optic disc

“…Capillary angiomas of the optic disc are slow growing tumours which either protrude from the optic disc surface as well demarcated tumours (endophytic) [2] or grow as intraretinal juxta-papillary haemangiomas (exophytic) [2,3]. They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3].…”

“…They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3]. Gass observed that photocoagulation should be restricted to those turnouts causing exudation and visual loss [3] and Watzke [4] noted that photocoagulation may be more hazardous than the subsequent natural course of the disease.…”

“…They present a difficult therapeutic problem due to penetration of the capillary angioma into the optic disc nerve fibre layer and papillo-macular bundle [3]. Gass observed that photocoagulation should be restricted to those turnouts causing exudation and visual loss [3] and Watzke [4] noted that photocoagulation may be more hazardous than the subsequent natural course of the disease. Gass [1] reported that in addition to direct treatment of the tumour, a barrier might be created with photocoagulation applied between the capillary angioma and the macula which is then protected from subsequent exudation and detachment [1,3].…”

Ophthalmological manifestations in VHL and NF 1: pathological and diagnostic implications

“…In contrast to peripheral angiomas the borders of juxtapapillary angiomas are often irregular and less well demarcated and growth pattern is variable. They may grow into the subretinal space, intraretinally or into the vitreous cavity [15]. Fluorescein angiography is helpful to discriminate juxtapapillary angioma from other lesions located at the optic disc as juxtapapillary choroidal hemangioma, choroidal melanoma or choroidal neovascular membranes ( Figure 3).…”

Classification and management of hereditary retinal angiomas

“…Three clinical types of capillary hemangioma of the optic disc have been described in persons with von Hippel's disease (13). The most easily recognized type is the endophytic hemangioma.…”