Juxtapapillary Hemangioblastoma: Case Report and Review of Literature

Abstract

Purpose: To report a case of retinal vascular tumor and to review literature pertaining to management of retinal vascular tumors of the eye. Methods: Clinical data including medical history, findings on physical examination, local examination, Fundus Fluorescein Angiography, USG B-Scan, MR Angiography of head and orbit was done for a 31 year old male, case of retinal juxtapapillary hemangioblastoma. Patient was given 2 injections of intravitreal Anti-VEGF at 4 weeks interval to reduce tumor vascularity, size and associated exudation, oedema and SRF to improve visual acuity. PDT was done following this for the residual tumor mass. Results: Visual acuity of the patient improved from finger counting at 3mts to 6/24 following intravitreal injections. Following PDT vision further improved to 6/18 and was maintained at that. No new tumor activity was observed over next 6 months. Conclusions:Combination of Anti-VEGF and PDT is an effective method of treatment of juxtrapapillary hemangioblastomas and of improving and preserving vision of the patient.

A Study of Irish Cultural Identity in J.M. Synge’s Riders to the Sea

“…And also elucidated the philosophy of stoicism which is basically "concerned with the way a person could live a morally good life in accord with nature" (2017.p.1). Maurya as a stoic character in Riders to the Sea fully explained and also the researcher [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21]. The researcher in this article proposes to study the use of language by individuals to construct their identity under to colonialist, the imperial mainstream discourse of England in early 20 th century Ireland also the study shows two major aspects: first, the way language is adopted as a personal strategy of inverting and of combating the imposed identity canons of the colonial power.…”