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

Jd, Gass; Braunstein, Robert A.

doi:10.1001/archopht.1980.01020040642011

Cited by 115 publications

(52 citation statements)

References 9 publications

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“…The spontaneous course of the disease, depending on its location, is usually progressive, and the visual prognosis is unfavorable [27]. We have to take into consideration vaso-occlusive effects at the level of the retina and optic nerve that compromise the functional benefit, but the unsatisfactory prognosis encourages PDT and eventually the combination with intravitreal drugs like triamcinolone or anti-vascular endothelial growth factor (VEGF) to achieve better results and reduce verteporfin or light dose to minimize side effects.…”

Section: Photodynamic Therapy Of Ocular Tumorsmentioning

confidence: 45%

Ocular Photodynamic Therapy – Standard Applications and New Indications (Part 2)

et al. 2007

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Photodynamic therapy (PDT) has become a well-established treatment for vascular forms of age-related macular degeneration (AMD). The implementation of evidence-based medicine principles into the treatment regimen of AMD seems to be immensly important, since AMD continues to be the most frequent cause of blindness among patients older than 65 years in industrialized countries. Numerous randomized prospective studies demonstrated high levels of evidence for the efficacy of various treatment approaches such as laser photocoagulation, PDT, subretinal surgery or novel anti-angiogenic drugs [Arch Ophthalmol 2006;124:597–599]. The high evidence shown by these studies supported the rationale to use PDT also in additional, less frequent, vasoproliferative diseases. Although these ‘case series’ and ‘individual case control studies’ have a low level of evidence, they give us important information for treatment decisions in these rare conditions. The goal of this survey is to review the current literature regarding PDT in vasoproliferative and exudative ocular diseases outside AMD. Many studies modified the treatment parameters of PDT to address the specific pathology of the underlying disease. Table 1 summarizes the diseases and treatment parameters that are described in this part 2, the entire table of this review is included in part 1 (www.karger.com/doi/10.1159/ 000101922).

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Section: Photodynamic Therapy Of Ocular Tumorsmentioning

confidence: 45%

Ocular Photodynamic Therapy – Standard Applications and New Indications (Part 2)

et al. 2007

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“…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].…”

Section: Discussionsupporting

confidence: 44%

Section: Discussionsupporting

confidence: 41%

“…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].…”

Section: Discussionsupporting

confidence: 41%

“…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]. The course followed by this tumour is possibly explained by its endophytic nature with absence of large feeder vessels.…”

Section: Discussionmentioning

confidence: 45%

See 2 more Smart Citations

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

1995

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This case report describes the treatment of a capillary angioma involving the temporal aspect of the optic disc by photocoagulation therapy. It chronicles the effect of creating a retinal-choroidal adhesion at the temporal margin of the lesion in reducing exudation from the angioma spreading to involve the macula. The patient in question has been followed for sixteen years and vision in this eye has been maintained at 6/6 following the course of therapy described. Our experience suggests that direct laser treatment to capillary angiomas of the optic disc combined with photocoagulation barrier protection of the macula is beneficial and should be considered early when the lesion is relatively small.

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Retinal Vascular Hamartoma in von Hippel-Lindau Disease

Schmidt¹

1995

Arch Ophthalmol

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

Cited by 115 publications

References 9 publications

Ocular Photodynamic Therapy – Standard Applications and New Indications (Part 2)

Ocular Photodynamic Therapy – Standard Applications and New Indications (Part 2)

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

Retinal Vascular Hamartoma in von Hippel-Lindau Disease

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