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

Abstract

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.

Angiomatosis retinae

“…kontraindiziert sei. Da das angiomatöse Gewebe in die Nervenfasern des Optikus und in das papillomakuläre Bündel penetriert, besteht die große Gefahr, dass durch Photokoagulation Nervenfaserausfälle mit größeren Gesichtsfelddefekten entstehen[61]. McCabe et al[85] sowie Malecha et al[84] betonten, dass Laserkoagulationen bei juxtapapillären Hämangio-blastomen eine schlechte Prognose aufweisen.…”