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Am J Ophthalmol Case Rep. 2019 May 20;15:100472. doi: 10.1016/j.ajoc.2019.100472. eCollection 2019 Sep.

Classification and treatment follow-up of a juxtapapillary retinal hemangioblastoma with optical coherence tomography angiography.

American journal of ophthalmology case reports

Lisette M Smid, Koen A van Overdam, Valentina Davidoiu, Jan H de Jong, Johannes F de Boer, Koenraad A Vermeer, Mirjam E J van Velthoven

Affiliations

  1. Rotterdam Ophthalmic Institute, Schiedamse Vest 160d, 3011 BH, Rotterdam, the Netherlands.
  2. Rotterdam Eye Hospital, Schiedamse Vest 180, 3011 BH, Rotterdam, the Netherlands.
  3. Institute for Lasers, Life and Biophotonics Amsterdam, Department of Physics and Astronomy, VU University, de Boelelaan 1081, 1081 HV, Amsterdam, the Netherlands.

PMID: 31198883 PMCID: PMC6556566 DOI: 10.1016/j.ajoc.2019.100472

Abstract

PURPOSE: Only an endophytic growth pattern in juxtapapillary retinal hemangioblastoma (JRH) is an indication for surgical treatment, but classification of growth types is difficult using conventional imaging techniques. This case report describes the use of optical coherence tomography angiography (OCT-A) features for classification and treatment follow-up in a case with JRH.

OBSERVATIONS: The JRH of this patient was easily detected with two different OCT-A methods in both

CONCLUSIONS: OCT-A revealed the depth localization of the JRH and seems to be a valuable tool for JRH classification. Detailed classification may be useful when surgery is considered as a treatment strategy. Furthermore, treatment follow-up is possible with OCT-A, although imaging artifacts should be taken into account.

Keywords: Doppler OCT; Intravitreal bevacizumab; Juxtapapillary retinal hemangioblastoma; Optical coherence tomography angiography; Sessile

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