
Choroidal Hemangioma Treated With Photodynamic Therapy Using Verteporfin
Steven A. Madreperla, MD, PhD
Arch Ophthalmol. 2001;119:1606-1610.
Objective To describe a new treatment for vision loss caused by subretinal fluid associated with circumscribed choroidal hemangioma.
Methods Three patients were treated with photodynamic therapy using verteporfin for injection (Visudyne; QLT Phototherapeutics Inc, Vancouver, British Columbia). All patients had pretreatment and posttreatment fluorescein angiography and ultrasonography. Treatment parameters used were verteporfin, 6 mg/m2, and laser light at 689 nm delivered at 50 J/cm2 with an intensity of 600 mW/cm2 for 83 seconds.
Results All patients had complete resolution of subretinal fluid within 2 weeks of treatment. Fluorescein angiography performed 2 to 4 weeks after treatment showed absence of tumor leakage. All eyes had reduced tumor thickness or complete flattening. Visual acuity was improved in each eye. Average follow-up was 5.3 months. No complications were noted.
Conclusion Photodynamic therapy with verteporfin is effective in eliminating subretinal fluid and improving vision in patients with circumscribed choroidal hemangioma.
From the Retina Associates of New Jersey, Teaneck. The author has no proprietary interest in this research.
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