Transpupillary thermotherapy (TTT) in circumscribed choroidal hemangioma

Abstract

Our preliminary results suggest that TTT may be used effectively to treat some choroidal hemangiomas in the first instance and prevent fluid leakage provided the lesion does not involve the fovea. However, long-term follow-up and more cases are needed to evaluate the long-term visual outcome and potential risks.

Transpupillary Thermotherapy for Circumscribed Choroidal Hemangioma: Clinical Profile and Treatment Outcome

“…Table 4 compares the results of the current study with those reported before. [6][7][8][9] Improvement in visual acuity was achieved in approximately 44% and maintained in approximately 38% of patients in the current study and the trends were similar (40% to 55% and 25% to 60%, respectively) in the previously reported series; worsening was only observed in 3 cases (19%). None of the cases in our series or in the reported studies complained of visual field loss or had features suggestive of retinal vascular occlusions.…”

Transpupillary Thermotherapy for Circumscribed Choroidal Hemangioma: Clinical Profile and Treatment Outcome

“…Table 4 compares the results of the current study with those reported before. [6][7][8][9] Improvement in visual acuity was achieved in approximately 44% and maintained in approximately 38% of patients in the current study and the trends were similar (40% to 55% and 25% to 60%, respectively) in the previously reported series; worsening was only observed in 3 cases (19%). None of the cases in our series or in the reported studies complained of visual field loss or had features suggestive of retinal vascular occlusions.…”

Resolution of Persistent Exudative Retinal Detachment in a Case of Sturge-Weber Syndrome with Anti-VEGF Administration

“……”

Sınırlı ve Difüz Koroid Hemanjiomlarında Tedavi Sonuçlarımız

“…nın 1-2 (ortalama 1,2) seans TTT (300-1100 mW) uyguladığı 10 sınırlı koroid hemanjiomlu olgunun %80'inde subretinal sıvı gerilemiştir. 18 Kliniğimizde daha önce yapılan bir çalışmada ise sınırlı koroid hemanjiomu nedeniyle 1-3 seans TTT (300-1200 mW) uygulanan 38 olgunun (literatür taraması ile elde edilen 28 olgu ve yazar tarafından takip edilen 10 olgu) tamamında subretinal sıvının kaybolduğu, %95'inde ise tümör kalınlığının azaldığı belirtilmiştir. 8 Çalışmamızda TTT uygulanan olguların %64'ünde görme keskinliğinde artış saptanırken, %27'sinde değişiklik olmamıştır.…”

Transpupillary Thermotherapy for Circumscribed Choroidal Hemangioma: Clinical Profile and Treatment Outcome

“…Table 4 compares the results of the current study with those reported before. [6][7][8][9] Improvement in visual acuity was achieved in approximately 44% and maintained in approximately 38% of patients in the current study and the trends were similar (40% to 55% and 25% to 60%, respectively) in the previously reported series; worsening was only observed in 3 cases (19%). None of the cases in our series or in the reported studies complained of visual field loss or had features suggestive of retinal vascular occlusions.…”

Resolution of Persistent Exudative Retinal Detachment in a Case of Sturge-Weber Syndrome with Anti-VEGF Administration

“……”

Sınırlı ve Difüz Koroid Hemanjiomlarında Tedavi Sonuçlarımız

“…nın 1-2 (ortalama 1,2) seans TTT (300-1100 mW) uyguladığı 10 sınırlı koroid hemanjiomlu olgunun %80'inde subretinal sıvı gerilemiştir. 18 Kliniğimizde daha önce yapılan bir çalışmada ise sınırlı koroid hemanjiomu nedeniyle 1-3 seans TTT (300-1200 mW) uygulanan 38 olgunun (literatür taraması ile elde edilen 28 olgu ve yazar tarafından takip edilen 10 olgu) tamamında subretinal sıvının kaybolduğu, %95'inde ise tümör kalınlığının azaldığı belirtilmiştir. 8 Çalışmamızda TTT uygulanan olguların %64'ünde görme keskinliğinde artış saptanırken, %27'sinde değişiklik olmamıştır.…”

Transpupillary Thermotherapy for Circumscribed Choroidal Hemangioma: Clinical Profile and Treatment Outcome

“…Table 4 compares the results of the current study with those reported before. [6][7][8][9] Improvement in visual acuity was achieved in approximately 44% and maintained in approximately 38% of patients in the current study and the trends were similar (40% to 55% and 25% to 60%, respectively) in the previously reported series; worsening was only observed in 3 cases (19%). None of the cases in our series or in the reported studies complained of visual field loss or had features suggestive of retinal vascular occlusions.…”

Resolution of Persistent Exudative Retinal Detachment in a Case of Sturge-Weber Syndrome with Anti-VEGF Administration

“……”

Sınırlı ve Difüz Koroid Hemanjiomlarında Tedavi Sonuçlarımız

“…nın 1-2 (ortalama 1,2) seans TTT (300-1100 mW) uyguladığı 10 sınırlı koroid hemanjiomlu olgunun %80'inde subretinal sıvı gerilemiştir. 18 Kliniğimizde daha önce yapılan bir çalışmada ise sınırlı koroid hemanjiomu nedeniyle 1-3 seans TTT (300-1200 mW) uygulanan 38 olgunun (literatür taraması ile elde edilen 28 olgu ve yazar tarafından takip edilen 10 olgu) tamamında subretinal sıvının kaybolduğu, %95'inde ise tümör kalınlığının azaldığı belirtilmiştir. 8 Çalışmamızda TTT uygulanan olguların %64'ünde görme keskinliğinde artış saptanırken, %27'sinde değişiklik olmamıştır.…”