Management of Papillary Retinal Capillary Hemangiomas - Case Report and Review of Literature

Abstract

Background: Retinal capillary hemangiomas (RCH) are rare, benign, vascular tumours characterized by capillary and glial cell proliferation. We report the management of a patient with a unilateral endophytic papillary RCH with exudations and serous retinal detachment. Methods: Case report Results: A 46-year old female presented with papillary RCH without association with von Hippel-Lindau syndrome. She was given two doses of intravitreal bevacizumab following which the serous detachment resolved. When the edema recurred again, she was given a dose of 4mg intravitreal triamcinolone acetate. The edema resolved and did not recur till the end of three months. She was given the option of photodynamic therapy, however, she did not consent for the procedure due to the high costs involved. Conclusion: Intravitreal injections can be used as a temporary remedy for the treatment of macular edema caused by RCH. However, currently there is no ideal definitive treatment available for papillary RCH. Larger studies are necessary to establish the treatment for this condition.