J Korean Ophthalmol Soc.  2013 Jan;54(1):170-175. 10.3341/jkos.2013.54.1.170.

Three Cases of Vasoproliferative Tumor of the Retina

Affiliations
  • 1Department of Ophthalmology, Yeungnam University College of Medicine, Daegu, Korea. changwh@ynu.ac.kr

Abstract

PURPOSE
Vasoproliferative tumor of the retina (VPTR) is a histologically benign lesion that can lead to visual loss due to associated complications. Herein, the authors report the clinical presentation, treatment, and prognosis of 3 VPTR cases.
CASE SUMMARY
Three eyes of 3 patients with VPTR were enrolled in the present study. The patients' fundoscopic feature showed characteristic elevated lesions of the peripheral retina without previous history of ocular disease. The patients included 2 males and 1 female, with an average age of 44.7 years. Fluorescein angiography (FAG) and indocyanine green angiography (ICGA) were helpful in establishing the diagnosis of VPTR. Additionally, 1 patient underwent ultrasonography and 2 patients underwent magnetic resonance imaging (MRI). During the follow-up period, subtenon triamcinolone acetonide injection was performed for 1 patient with macular edema, and cryotherapy was performed for 1 patient with increased peripheral exudation.
CONCLUSIONS
For an adequate diagnosis of VPTR, careful examination of the peripheral retina is important. In addition, FAG/ICGA and ultrasonography can be helpful in VPTR diagnosis. Furthermore, proper treatment according to each subset of complication during the follow-up period is recommended.

Keyword

Cryotherapy; Retina; Triamcinolone acetonide; Vasoproliferative tumors

MeSH Terms

Angiography
Cryotherapy
Diagnosis
Female
Fluorescein Angiography
Follow-Up Studies
Humans
Indocyanine Green
Macular Edema
Magnetic Resonance Imaging
Male
Prognosis
Retina*
Triamcinolone Acetonide
Ultrasonography
Indocyanine Green
Triamcinolone Acetonide

Figure

  • Figure 1. (A) Homogenous creamy yellow colored fine mass in inferotemporal peripheral retina. (B) and (D) FAG finding. Dilated and obscured vessels with hyperfluorescence on mass lesion. There were neither abnormal feeding vessels nor dilated vessels in surrounding mass lesion. (C) and (E) ICGA finding. Blocked fluorescence associated with tumor showing no abnormal choroidal vessels.

  • Figure 2. Optical coherence tomographic finding. Maular edema with thin epiretinal membrane.

  • Figure 3. (A) Well visualized retinal mass through relative clear vitreous cavity 1 month after subtenon's triamcinolone aceteonide injection. (B) Optical coherence tomographic finding. Absorbed macular edema one month after subtenon's triamcinolone aceteonide injection.

  • Figure 4. (A) Homogenous creamy yellow colored mass in inferotemporal peripheral retina. (B) FAG finding. Dilated and obscure vessels with hyperfluorescence on mass lesion. There were neither abnormal feeding vessels nor dilated vessels in surrounding mass lesion. (C) ICGA finding. Blocked fluorescence associated with tumor showing no abnormal choroidal vessels.

  • Figure 5. Stable mass lesion without any complication for 6 months.

  • Figure 6. (A) Homogenous creamy yellow colored fine mass with surrounding exudates and photocoagulation scar in inferonasal peripheral retina. (B) and (C) Normal macular appearance. (D) FAG finding. Dilated and obscured vessels with hyperfluorescence on mass lesion and visible photo-coagulation scar. There were neither abnormal feeding vessels nor dilated vessels in surrounding mass lesion. (E) ICGA finding. Blocked fluorescence associated with subretinal exudates and photocoagulation scar showing no abnormal choroidal vessels.

  • Figure 7. (A) Increased thick exudates toward optic disc but no evidence of macular involvement. (B) One month after cryotherapy, slightly decreased density of exudates toward optic disc.


Reference

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